Malignant Hypertension Questions & Answers

Updated: May 26, 2020
  • Author: John D Bisognano, MD, PhD, FACP, FACC; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Questions & Answers

Overview

What is malignant hypertension?

What are the pathophysiology and etiology of malignant hypertension?

Which conditions should be considered in apparent malignant hypertension?

What is the prognosis of malignant hypertension?

What education should be provided to patients with malignant hypertension?

Presentation

What information should be collected in the patient history in suspected malignant hypertension?

What is the focus of the physical exam for suspected malignant hypertension?

How is the cardiovascular system evaluated in the physical exam of a patient with suspected malignant hypertension?

How is the central nervous system evaluated in the physical exam of a patient with suspected malignant hypertension?

Which renal, GI, and ophthalmologic symptoms are associated with malignant hypertension?

DDX

What are the differential diagnoses for Malignant Hypertension?

Workup

Which lab studies are indicated in the workup of malignant hypertension?

Which imaging studies are indicated in the workup of malignant hypertension?

What is the role of ECG and echocardiography in the workup of malignant hypertension?

Treatment

What are the approach considerations in the treatment of malignant hypertension?

Which medications are used in the treatment of malignant hypertension?

What is the role of surgical care in the management of malignant hypertension?

What are the complications of malignant hypertension?

What are the dietary recommendations for patients with malignant hypertension?

What are the activity recommendations for patients with malignant hypertension?

What are further episodes of malignant hypertension prevented?

Which specialist consultations are indicated in the treatment of malignant hypertension?

Guidelines

What are the 2017 ACC/AHA treatment guidelines for malignant hypertension?

What are the ACEP treatment guidelines for malignant hypertension?