Mishra Priyadarshini, Dash Nikita, Sahu Sandip K, Kanaujia Vikas, Sharma Kumudini
Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, IND.
Cureus. 2022 Jul 22;14(7):e27140. doi: 10.7759/cureus.27140. eCollection 2022 Jul.
Malignant hypertension (MHT) is a sudden and severe increase in systemic blood pressure (BP) associated with advanced bilateral retinopathy. It comes under a broader term, called hypertensive emergency, where an acute rise in BP results in end-organ damage. The condition usually requires hospital admission and intensive care management. Although there are lots of sophisticated machines and laboratory tests present to diagnose various organ damage, the role of ophthalmologists will still be at the top. A record of the acute rise of BP to a defining level and simple ophthalmoscopy with high clinical suspicion can save a patient's life and preserve target organ function by timely referral. So, every ophthalmologist should be aware of this dangerous condition. In this review, we have tried to compile all the current knowledge regarding malignant hypertension that an ophthalmologist may require in day-to-day practice.
恶性高血压(MHT)是一种与晚期双侧视网膜病变相关的系统性血压(BP)突然且严重升高的疾病。它属于一个更宽泛的术语,即高血压急症,其中血压的急性升高会导致终末器官损伤。这种情况通常需要住院并进行重症监护管理。尽管有许多精密的仪器和实验室检查可用于诊断各种器官损伤,但眼科医生的作用仍然至关重要。记录血压急性升高至确诊水平,并在高度临床怀疑时进行简单的检眼镜检查,通过及时转诊可挽救患者生命并保留靶器官功能。因此,每位眼科医生都应了解这种危险情况。在本综述中,我们试图汇编眼科医生在日常实践中可能需要的关于恶性高血压的所有现有知识。