Nineteen articles from the period of 1978 you the 2002 were analyzed. Educational We concluded that experiences with blood hypertension patients ploughs incipient and few articles report upon the perspective of the critical health conscientiousness. Hypertensive crisis: definition, epidemiology and diagnosis Hypertensive crisis is to disorder of rapid and symptomatic elevation of blood pressure with risk of acute or progressing target organ damage. Clinical It is the most frequent emergency in an emergency department. The distinction between emergencies and urgencies is important because it dictates management. If is an emergency requires immediate reduction of blood pressure. The emergency or urgency cannot always be distinguished by the height of the blood pressure but usually by the extension of organ damage. Hypertensive crisis ploughs the most distinguishes form of poorly controlled hypertension.

Predispose factors ploughs to lower socioeconomic and education status, without primary care physician and health insurance. Fundoscopic examination is mandatory in all you marry the diagnosis establishment and detects papilledema. The improvement of the treatment of chronic hypertension should reduce the incidence of hypertensive urgency and emergencies. Keywords: Hypertensive crisis; Hypertensive emergency; Hypertensive urgency. Rev Bras Hipertens 9:340 – 345, 2002 INTRODUCTION the term hipertensiva crisis encloses a series of clinical situations with different degrees of severity of rise of the arterial pressure (Par). The accurate definition of the picture in urgency or emergency can have consequences how much to the choice of the treatment. In some circumstances the determinative factor would be the severity or rapidity of the rise of the Par.

In others, the relevance depends on the nature of the underlying medical complication. The definition of urgency or emergency cannot be made by the value of the Par, in a similar way that the immediate necessity of treatment.