Almanac of Clinical MedicineAlmanac of Clinical Medicine2072-05052587-9294Moscow Regional Research and Clinical Institute (MONIKI)16910.18786/2072-0505-2014-35-34-37EMERGENCY STATES IN ARTERIAL HYPERTENSIONGurevichM. A.MD, PhD, Professor, Internal Diseases Department,<br />Postgraduate Medical Schoolmagurevich@mail.ruKuz’menkoN. A.Resident physician, Internal Diseases Department, Postgraduate Medical Schoolfake@neicon.ruMoscow Regional Research and Clinical Institute (MONIKI)61/2 Shchepkina ul., Moscow, 129110, Russian Federation151020143534371602201616022016Copyright © 2014, Gurevich M.A., Kuz’menko N.A.2014The article describes in detail potential emergency states in patients with different stages of arterial hypertension with special attention to diagnosis and rational management of hypertensive crisis. Differentiated approach to management of different forms of hypertensive crisis is specified.arterial hypertensionhypertensive crisiscomplicationsurapidilnitroglycerinартериальная гипертониягипертонические кризыосложненияурапидилнитроглицерин[1. Диагностика и лечение артериальной гипертензии. Рекомендации Российского медицинского общества по артериальной гипертонии и Всероссийского научного общества кардиологов. Кардиоваскулярная терапия и профилактика. 2008;7 (6 Прил. 2). (Diagnosis and treatment of arterial hypertension. Guidelines of the Russian Medical Arterial Hypertension Society and Society of Сardiology of Russian Federation. Kardiovaskulyarnaya terapiya i profilaktika. 2008;7(6 Suppl 2). Russian).][2. Van den Born BJ, Beutler JJ, Gaillard CA, de Gooijer A, van den Meiracker AH, Kroon AA. Dutch guideline for the management of hypertensive crisis – 2010 revision. Neth J Med. 2011;69(5):248–55.][3. Marik PE, Rivera R. Hypertensive emergencies: an update. Curr Opin Crit Care. 2011;17(6):569–80.][4.Haas AR, Marik PE. Current diagnosis and management of hypertensive emergency. Semin Dial. 2006;19(6):502–12.][5. Smithburger PL, Kane-Gill SL, Nestor BL, Seybert AL. Recent advances in the treatment of hypertensive emergencies. Crit Care Nurse. 2010;30(5):24–30.][6. Karakiliç E, Büyükcam F, Kocalar G, Gedik S, Atalar E. Same effect of sublingual and oral captopril in hypertensive crisis. Eur Rev Med Pharmacol Sci. 2012;16(12): 1642–5.][7. Shayne PH, Pitts SR. Severely increased blood pressure in the emergency department. Ann Emerg Med. 2003;41(4):513–29.][8. Mansoor GA, Frishman WH. Comprehensive management of hypertensive emergencies and urgencies. Heart Dis. 2002;4(6):358–71.][9. Кушаковский МС. Гипертоническая болезнь. СПб.: Сотис; 1995. 320 с. (Kushakovskiy MS. Essential hypertension. Saint-Petersburg: Sotis; 1995. 320 p. Russian).][10. Руководство по скорой медицинской по- мощи. М.: ГЭОТАР-Медиа; 2007. 816 с. (Emergency medical care guidelines. Moscow: GEOTAR-Media; 2007. 816 p. Russian)]