Emergency medical care for hypertension: possibilities and prospectives

Ruksin V.V.

Mechnikov North-Western State Medical University, St. Petersburg, Russia

Grishin O.V.

City Outpatient Clinic №17, St. Petersburg, Russia

Syamtomov A.S.

City Outpatient Clinic №17, St. Petersburg, Russia

Emergency medical care for hypertension: possibilities and prospectives

Authors:

Ruksin V.V., Grishin O.V., Syamtomov A.S.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(2): 19‑23

DOI: 10.17116/kardio201811219-23

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To cite this article:

Ruksin VV, Grishin OV, Syamtomov AS. Emergency medical care for hypertension: possibilities and prospectives. Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(2):19‑23. (In Russ.)
https://doi.org/10.17116/kardio201811219-23

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Aim — to assess an effectiveness of various antihypertensive drugs for hypertension management. Material and methods. 389 patients with non-life-threatening blood pressure (BP) elevation were enrolled to compare various drug combinations. Results. It was shown that efficacy of moxonidine + furosemide, moxonidine + nifedipine and captopril + furosemide combinations overcame 87% with low incidence of adverse events that justifies advisability of their administration for emergency medical care including self-care. Nifedipine combined with captopril was associated with decreased antihypertensive effect and increased incidence of adverse events. Optimal combinations of medicines for self-care should be determined during emergency medical care so that both the doctor and the patient can be convinced of the efficacy and good tolerability of the drugs. It was also concluded that active self-care for elevated blood pressure significantly decreased the number of calls for emergency medical care.

Keywords:

emergency medical care

blood pressure elevation

self-care

captopril

moxonidine

nifedipine

furosemide

Authors:

Ruksin V.V.

Mechnikov North-Western State Medical University, St. Petersburg, Russia

Grishin O.V.

City Outpatient Clinic №17, St. Petersburg, Russia

Syamtomov A.S.

City Outpatient Clinic №17, St. Petersburg, Russia

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