Acute cardiac impairment

When acute cardiac impairment occurs with severe hypertension, immediate blood pressure reduction will decrease cardiac work and myocardial oxygen demand. If neurological complications are not an active concern, the pressure should be quickly reduced to near-normal levels (diastolic blood pressure 85-90 mmHg). With ongoing myocardial ischemia the agent of choice is intravenous nitroglycerin (glyceryl trinitrate). However, this agent is not a very effective antihypertensive, and so sodium nitroprusside may be needed. A loop diuretic may also be considered in appropriate patients.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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