Evidence-based On-call

Hypertensive crisis

Prognosis

Few patients require haemodialysis ^b

, unless there is glomerulonephritis. ^a

Note:

3.2% develop renal failure requiring haemodialysis (95% CI: 1.2% to 5.1%) b
Patients with malignant hypertension secondary to chronic glomerulonephritis are more likely to require renal dialysis and far sooner than patients with essential hypertension (3.5 years sooner). ^a
Most patients are on haemodialysis within 18 months (> 90%) ^a