Bleeding into the atrial apex in hypertensive emergencies

Sánchez Lima, Yuniel Guirola Urdanivia, Ronald M. Hernández

Research output: Contribution to journalOriginal Articlepeer-review


A quasi-experimental and cross-section-al study was conducted at the “Com-mandant Manuel Fajardo Rivero” Hospital in Santa Clara, in the period from October 2015 to June 2019, with the aim of determining the therapeutic response in patients with the application of auricular apex bleeding in hypertensive emergencies. The population consisted of all patients who attended the emergency de-partment of that hospital with this diagnosis. The sample was formed in a non-probabilistic way by criteria, consist-ing of 84 patients, distributed in two groups at random; one treated with the technique of bleeding into the atrial apex (Erjian point) and the other with a chewed captopril tablet (every 30 minutes) until the maximum dose of 50 mg was reached (for the duration of the study). The principles of medical ethics and the STRICTA guidelines for acupuncture research were followed. The main response measurement variables were: traditional Chinese diagno-sis, clinical evolution, remission time of blood pressure fig-ures and therapeutic response. Patients were evaluated at the beginning, 10, 15, 20 and 30 minutes after the application of the treatments in both groups. The diagnosis of hot-back disease by Yin vacuum, favourable clinical evo-lution, moderately short remission time and satisfactory therapeutic response prevailed in 100 % of the patients treated with atrial apex bleeding. It was concluded that in hypertensive emergencies this procedure was satisfactory.

Translated title of the contributionAplicación de sangría en el ápex auricular en la urgencia hipertensiva
Original languageAmerican English
Pages (from-to)85-90
Number of pages6
JournalRevista Latinoamericana de Hipertension
Issue number2
StateIndexed - 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020, Venezuelan Society of Pharmacology and Clinical and Therapeutic Pharmacology. All rights reserved.


  • Bleeding
  • Hypertensive urgency
  • Traditional Chinese diagnosis


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