Podcast - Hypertensive urgency or emergency? Spot the difference..‪.‬ Primary Care Guidelines

The video version of this podcast can be found here:
https://youtu.be/8dYGalK25os
 
This video makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.
 
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the concept of Hypertensive Urgency as opposed to Hypertensive Emergency.

I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.  
 
There is a podcast version of this and other videos that you can access here:
 
Primary Care guidelines podcast:
 
·      Redcircle: https://redcircle.com/shows/primary-care-guidelines
·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK
·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148

There is a YouTube version of this and other videos that you can access here: 
The Practical GP YouTube Channel: 
https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk
 
The resources consulted can be found here:

Hypertension in adults: diagnosis and management - NICE guideline [NG136]:
 
·      https://www.nice.org.uk/guidance/ng136
The NICE hypertension flowcharts can be found here:
 
·      Website: https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517
 
The Clinic BP targets tables can be downloaded here:
·      https://1drv.ms/b/s!AiVFJ_Uoigq0mFtrsXeUGOB58DKE?e=J7filE
Worcestershire Acute Hospitals NHS Trust guideline on the Management of Hypertensive crises:
·      https://www.bing.com/ck/a?!&&p=9b5fdeea73ebb791JmltdHM9MTcxMzU3MTIwMCZpZ3VpZD0xODRhNTBkMS0xZGExLTYzZWItMjMyYi00NGMwMWNhNzYyYjMmaW5zaWQ9NTIwOA&ptn=3&ver=2&hsh=3&fclid=184a50d1-1da1-63eb-232b-44c01ca762b3&psq=Worcestershire+Acute+Hospitals+NHS+Trust+guidelines+hypertensive+crises&u=a1aHR0cHM6Ly9hcHBzLndvcmNzYWN1dGUubmhzLnVrL0tleURvY3VtZW50UG9ydGFsL0hvbWUvRG93bmxvYWRGaWxlLzM3NDk&ntb=1
The Worcestershire Acute Hospitals NHS Trust Hypertensive crisis flowchart can be downloaded here:
 
·      https://1drv.ms/b/s!AiVFJ_Uoigq0mRX6no6c5m3ddfEC?e=aPVQ67
NICBH PUBMED
·    https://www.ncbi.nlm.nih.gov/books/NBK513351/
Slides MRCP
·      https://www.bing.com/ck/a?!&&p=695818f027015fbaJmltdHM9MTcxMzU3MTIwMCZpZ3VpZD0xODRhNTBkMS0xZGExLTYzZWItMjMyYi00NGMwMWNhNzYyYjMmaW5zaWQ9NTIxMQ&ptn=3&ver=2&hsh=3&fclid=184a50d1-1da1-63eb-232b-44c01ca762b3&psq=adrian+stanley+hypertensive+urgency&u=a1aHR0cHM6Ly93d3cucmNwbG9uZG9uLmFjLnVrL2ZpbGUvMjk2Ny9kb3dubG9hZA&ntb=1
NEJM article: Acute severe hypertension:
·      https://www.nejm.org/doi/full/10.1056/NEJMcp1901117
Approach to HTN urgency in primary care setting
·      https://journals.lww.com/tnpj/Fulltext/2021/10000/Approach_to_a_patient_with_hypertensive_urgency_in.13.aspx
 
Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] 
Music provided by Audio Library Plus 
Watch: https://youtu.be/aBGk6aJM3IU 
Free Download / Stream: https://alplus.io/halfway-through 
Transcript
If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.
Hello and welcome, I’m Fernando, a GP in the UK. Today I will touch on a subject which is not really covered by NICE, which is the concept of hypertensive urgency, as opposed to hypertensive emergency. It is an interesting subject which we are going to illustrate with a practical case, so make sure that you stick around till then. For this I have consulted a number of medical publicati