0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Current Treatment of Malignant Hypertension

Charles L. Curry, MD; Adrian O. Hosten, MD
JAMA. 1975;232(13):1367-1369. doi:10.1001/jama.1975.03250130051025.
Text Size: A A A
Published online

A MAN who is 42 years old has a blood pressure of 230/150 mm Hg. Does he have malignant hypertension? Should the blood pressure be lowered immediately or gradually? The answers to these questions require a clear concept of the nature and treatment of malignant hypertension. Unfortunately, there is no single, all-inclusive definition of malignant hypertension. The disease is actually a clinical syndrome characterized by severe diastolic hypertension and varying degrees of retinal or renal changes or both. It may be accompanied by visual impairment, headache, nausea, vomiting, a variety of neurologic abnormalities, and rapid deterioration of renal function. The pretreatment diastolic blood pressure usually exceeds 130 mm Hg, although occasional patients may have the typical syndrome with lower blood pressure levels. A few patients seem to tolerate equally severe hypertension without ever developing the syndrome, so that it is not possible to predict which patient will develop the typical

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

25 Views
0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
×
brightcove.createExperiences();