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Table 2 Principal causes of acute systemic arterial hypertension in critically ill patients

From: Control of hypertension in the critically ill: a pathophysiological approach

Organ system

Cause

Decompensated essential (primary) hypertension Secondary causes

Discontinuation of antihypertensive drugs

Central Nervous System

Pain

 

Anxiety and stress

 

Delirium

 

Withdrawal syndromes

 

Intracranial hypertension

Renal system

Urinary retention

 

Renal failure

 

Hypervolemia

Respiratory system

Respiratory distress – Hypoxemia, hypercapnia

Metabolic

Hypoglycemia

 

Steroid administration

 

Pheochromocytoma

 

Cushing syndrome

 

Intoxication, substance abuse and overdose (cocaine, phencyclidine, amphetamines)