Multicentric Study on the Management of Acute Hypertensive Events in Greece
This study focuses on acute hypertensive events, including hypertensive crises and emergencies, aiming to assess prevalence, characteristics of patients, and management strategies in Greek hospitals. The study involves a national, multicentric, non-invasive approach in collaboration with Hellenic ESH Excellence Centers, targeting patients aged over 18 years referred to the Emergency Department with elevated blood pressure levels. By addressing gaps in current guidelines, the study seeks to improve understanding and enhance treatment strategies for acute hypertension cases.
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Multicentric study on the management of Acute Hypertensive Events ESH Hypertension Excellence Centers Pilot study in Greece
Definitions Hypertensive crisis is an acute and severe rise in BP (>180/120mmHg) presenting with highly heterogeneous profiles. Hypertensive encephalopathy Cerebral infarction Intracranial haemorrhage Subarachnoid haemorrhage Retinopathy grade 3-4 + OD - OD ACS Acute LV failure Aortic dissection Acute kidney injury (AKI) Hypertensive emergencies Hypertensive urgencies 2013 ESH/ESC Guidelines for the management of arterial hypertension
Size of the problem - Epidemiology 456,259 hospitalizations for hypertensive emergencies occurred from 2000 to 2007 in the US. In 2025, more than 47 million patients will develop a hypertensive emergency worldwide. Hyper. emergencies 24% Hypertensive crisis 3% Hyper. urgencies 76% Medical urgencies 97% History of hypertension: 72% hypertensive urgencies 92% hypertensive emergencies 1-2% of hypertensive patients will have an episode of hypertensive crisis in their lifetime. Deshmukh A, et al. Am J Cardiol. 2011 Nov 1;108(9):1277-82 Zampaglione B, et al. Hypertension 1996; 27:144 147 Lane DA, et al. Am J Hypertens 2009; 22:1199 1204
Background In the latest edition of the ESC guidelines for hypertension, there is poor mention on hypertensive crisis There is a small number of publications concerning the prevalence and treatment of these events in the ED. Objective Assessment of: the prevalence of acute hypertensive episodes the epidemiological and clinical characteristics of patients the management of these episodes 1. 2. 3.
Study Design 1. 2. 3. AHEPA IPPOKRATIO PAPAGEORGIOU It is a national, multicentric, non-invasive study, conducted in the ED of hospitals where the respective Hellenic ESH Excellence Centers are located. Thessaloniki 1. 2. 3. 4. 5. 6. 7. 8. IPPOKRATIO LAIKO ASLKIPIEIO SOTIRIA KAT EVAGGELISMOS ALEXANDRA ATTIKO Ioannina Athens Heraklion
Study Population The population of the study consists of patients > 18 years old who are reffered to the ED of the above hospitals, either due to increased BP levels or other reasons and who present elevated BP that requires further assessment (e.g. epistaxis with elevated BP) Study duration: 6 months
