entgleist

English translation: hypertensive urgency

GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW)
German term or phrase:hypertensive Entgleisung
English translation:hypertensive urgency
Entered by: @caduceus (X)

16:11 Dec 19, 2006
German to English translations [PRO]
Medical - Medical: Cardiology
German term or phrase: entgleist
The word appears in a diagnosis of a heart patient. The text is "Hypertonie, initial entgleist, bislang nicht behandelt/bekannt". I get the sense, I think (something like getting out of control), but wonder if "derailed" is the correct medical term of art, and if not, what would be.
Thomas Ochiltree
Local time: 09:35
hypertensive urgency
Explanation:
Hypertensive urgency is a subcategory of hypertensive crisis

Hypertensive Krise
6.1 Definition
6.2 Therapie der hypertensiven Krise
6.2.1 Hypertensive Entgleisung (Dringlichkeit)
6.2.2 Hypertensiver Notfall
http://www.evidence.de/Leitlinien/leitlinien-intern/Hyperton...

Hypertensive Entgleisung (Hypertensive Dringlichkeit)
http://www.medizinfo.de/kardio/hypertonie/normwerte.shtml

-----------------------------

To understand the difference between hypertensive crisis, hypertensive urgency, and hypertensive emergency

Hypertensive crisis is defined as a critical elevation in blood pressure in which diastolic pressure exceeds 120 mm Hg. The presence of acute or ongoing end-organ damage constitutes a hypertensive emergency, whereas the absence of such complications is known as a hypertensive urgency. Hypertensive emergencies generally require a reduction in blood pressure within a few hours, usually using intravenous medications given in an intensive care unit. Hypertensive urgencies also require prompt medical attention, but blood pressure can be lowered over 24 to 48 hours, sometimes in a closely monitored outpatient setting.

http://www.postgradmed.com/issues/1999/05_01_99/bales.htm

-----------------------------

Hypertension:

Hypertensive Crisis

When blood pressure reaches a critical point of elevation organ damage may occur. Elevated blood pressure coupled with progressive or impending organ damage due to high blood pressure is referred to as a "hypertension crisis." Hypertension crisis comprises a spectrum of conditions, including hypertension urgency and hypertension emergency.

Hypertensive Urgency

When blood pressure spikes, but there is no damage to the body's organs as a result and blood pressure can be brought down safely within a few hours with blood pressure medication this is referred to as hypertensive urgency.

Hypertensive Emergency

When organ damage occurs as a result of severely elevated high blood pressure, this is considered a hypertensive emergency. When this occurs, blood pressure must be reduced immediately to prevent organ damage. This is done in an intensive care unit of a hospital.

http://www.webmd.com/content/article/96/103797

-----------------------------

Hypertensive crisis is classified as hypertensive emergency or hypertensive urgency.
http://www.emedicine.com/med/topic667.htm

--------------------------------------------------
Note added at 39 mins (2006-12-19 16:51:36 GMT)
--------------------------------------------------

Arterielle Hypertonie – Der Hypertensive Notfall:
Hypertensive Entgleisung („hypertensive urgency“)
Hypertensiver Notfall („hypertensive emergency“)
Hypertensive Krise – kein eindeutiger Begriff, wird sowohl synonym für die hypertensive Entgleisung als auch für den hypertensiven Notfall benutzt
http://medd.klinikum.uni-muenster.de/standards/nephrologie/H...
Selected response from:

@caduceus (X)
United States
Local time: 07:35
Grading comment
Thanks.
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +2initial hypertensive crisis
Patricia Daehler
4 +1hypertensive urgency
@caduceus (X)
4initial hypertensive event(s)
Dr.G.MD (X)


Discussion entries: 1





  

Answers


18 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5
initial hypertensive event(s)


Explanation:
Scheint mir besser, denn von einer hypertensiven Krise, einer sofort behandlungsbedürftigen Notfallsituation ist den Angaben nach nichts bekannt, daher dürfte die allgemeinere Form, welche grenzwertige Blutdruckwerte impliziert hier ausreichen.

Dr.G.MD (X)
Local time: 15:35
Specializes in field
Native speaker of: Native in GermanGerman
PRO pts in category: 284
Login to enter a peer comment (or grade)

30 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
Hypertensive Entgleisung
hypertensive urgency


Explanation:
Hypertensive urgency is a subcategory of hypertensive crisis

Hypertensive Krise
6.1 Definition
6.2 Therapie der hypertensiven Krise
6.2.1 Hypertensive Entgleisung (Dringlichkeit)
6.2.2 Hypertensiver Notfall
http://www.evidence.de/Leitlinien/leitlinien-intern/Hyperton...

Hypertensive Entgleisung (Hypertensive Dringlichkeit)
http://www.medizinfo.de/kardio/hypertonie/normwerte.shtml

-----------------------------

To understand the difference between hypertensive crisis, hypertensive urgency, and hypertensive emergency

Hypertensive crisis is defined as a critical elevation in blood pressure in which diastolic pressure exceeds 120 mm Hg. The presence of acute or ongoing end-organ damage constitutes a hypertensive emergency, whereas the absence of such complications is known as a hypertensive urgency. Hypertensive emergencies generally require a reduction in blood pressure within a few hours, usually using intravenous medications given in an intensive care unit. Hypertensive urgencies also require prompt medical attention, but blood pressure can be lowered over 24 to 48 hours, sometimes in a closely monitored outpatient setting.

http://www.postgradmed.com/issues/1999/05_01_99/bales.htm

-----------------------------

Hypertension:

Hypertensive Crisis

When blood pressure reaches a critical point of elevation organ damage may occur. Elevated blood pressure coupled with progressive or impending organ damage due to high blood pressure is referred to as a "hypertension crisis." Hypertension crisis comprises a spectrum of conditions, including hypertension urgency and hypertension emergency.

Hypertensive Urgency

When blood pressure spikes, but there is no damage to the body's organs as a result and blood pressure can be brought down safely within a few hours with blood pressure medication this is referred to as hypertensive urgency.

Hypertensive Emergency

When organ damage occurs as a result of severely elevated high blood pressure, this is considered a hypertensive emergency. When this occurs, blood pressure must be reduced immediately to prevent organ damage. This is done in an intensive care unit of a hospital.

http://www.webmd.com/content/article/96/103797

-----------------------------

Hypertensive crisis is classified as hypertensive emergency or hypertensive urgency.
http://www.emedicine.com/med/topic667.htm

--------------------------------------------------
Note added at 39 mins (2006-12-19 16:51:36 GMT)
--------------------------------------------------

Arterielle Hypertonie – Der Hypertensive Notfall:
Hypertensive Entgleisung („hypertensive urgency“)
Hypertensiver Notfall („hypertensive emergency“)
Hypertensive Krise – kein eindeutiger Begriff, wird sowohl synonym für die hypertensive Entgleisung als auch für den hypertensiven Notfall benutzt
http://medd.klinikum.uni-muenster.de/standards/nephrologie/H...

@caduceus (X)
United States
Local time: 07:35
Native speaker of: Native in GermanGerman
PRO pts in category: 75
Grading comment
Thanks.

Peer comments on this answer (and responses from the answerer)
agree  Anne Schulz
1 hr
Login to enter a peer comment (or grade)

12 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +2
initial hypertensive crisis


Explanation:
See:

http://www.proz.com/kudoz/865631

and also:
Hypertensive crisis - MayoClinic.com
A hypertensive crisis is a severe increase in blood pressure that can lead to a stroke.
www.mayoclinic.com/health/hypertensive-crisis/AN00626



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Note added at 16 mins (2006-12-19 16:28:12 GMT)
--------------------------------------------------

More detailed information about hypertensive emergencies:

eMedicine - Hypertensive Emergencies : Article by Christy McCowan ...
Synonyms and related keywords: hypertensive emergency, hypertensive emergencies, hypertensive crisis, malignant hypertension, HTN, hypertensive urgency, ...
www.emedicine.com/EMERG/topic267.htm

--------------------------------------------------
Note added at 41 mins (2006-12-19 16:53:09 GMT)
--------------------------------------------------

Normwerte
Die Normwerte gelten für Erwachsene ab dem 18. Lebensjahr
Die nachfolgende Tabelle zeigt eine Einteilung der Hypertonie im Erwachsenenalter über 18 Jahren:


systolischer Druck (mmHg)
diastolischer Druck (mmHg)
Optimal
< 120
< 80
Normal
< 130
< 85
Noch normal
130 - 139 oder
85 - 89
Hypertonie
Stadium 1
140 - 159 oder
90 - 99
Stadium 2
160 - 179 oder
100 - 109
Stadium 3
> 180 oder
> 110
Hypertensive Krise (akutes Ereignis
Hypertensive Entgleisung
(Hypertensive Dringlichkeit)
210 - 240
110 - 140
Hypertensiver Notfall
210 - 240 und
lebensbedrohliche Organkomplikation
110 - 140
Quelle: Leitlinien Hypertonie
see:
http://www.medizinfo.de/kardio/hypertonie/normwerte.shtml

Patricia Daehler
United States
Local time: 09:35
Specializes in field
Native speaker of: German
PRO pts in category: 68

Peer comments on this answer (and responses from the answerer)
agree  Steffen Walter
0 min
  -> Thank you Steffen

agree  Stephen Sadie: perfect
6 mins
  -> Thank you Stephen
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