An Update on Inpatient Hypertension Management.

Abstract:

:Hypertension is highly prevalent affecting nearly one third of the US adult population. Though generally approached as an outpatient disorder, elevated blood pressure is observed in a majority of hospitalized patients. The spectrum of hypertensive disease ranges from patients with hypertensive emergency including markedly elevated blood pressure and associated end-organ damage to asymptomatic patients with minimally elevated pressures of unclear significance. It is important to note that current evidence-based hypertension guidelines do not specifically address inpatient hypertension. This narrative review focuses primarily on best practices for diagnosing and managing nonemergent hypertension in the inpatient setting. We describe examples of common hypertensive syndromes, provide suggestions for optimal post-acute management, and point to evidence-based or consensus guidelines where available. In addition, we describe a practical approach to managing asymptomatic elevated blood pressure observed in the inpatient setting. Finally, arranging effective care transitions to ensure optimal ongoing hypertension management is appropriate in all cases.

journal_name

Curr Cardiol Rep

authors

Axon RN,Turner M,Buckley R

doi

10.1007/s11886-015-0648-y

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

94

issue

11

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-015-0648-y

journal_volume

17

pub_type

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