title: [High blood pressure in the emergency department: epidemiology and evaluation of a dedicated consultation].
abstract: OBJECTIVE
  The Arterial High blood pressure represents a consultation on 5 in general medicine. The main objective of our study was to estimate patients' proportion appearing at emergency department (ED) with a high Blood pressure and to demonstrate that it is possible to detect the patients at risk of essential and secondary hypertension as well as their cardiovascular risk there.
  
  
  METHODS
  Non-interventional forward-looking Study led over 6 weeks. After measure of the vital parameters in the reception of ED, the patients were included if the Systolic Blood Pressure (SBP) was ≥ 140 mmHg and\or Diastolic Blood Pressure (DBP) ≥ 90 mmHg. A control of Blood Pressure (BP) was made at least 40 minutes after the inclusion. If the Arterial High blood pressure persisted (BP ≥ 140/90 mmHg and age < 30 years or BP ≥ 180/110 mmHg after 30 years), the patients had to see again a cardiologist of the hospital in 7 days because they were considered as at high cardiovascular risk.
  
  
  RESULTS
  A high initial BP was discovered to 582 (8,7 %) 6685 patients having consulted in ED during the period of the study. 64 % of them (n = 372) had a persistent Arterial High Blood pressure after 40 minutes. 27 patients, defined at high cardiovascular risk had a proposition of consultation of cardiology, appeared 11 to it. 4 secondary hypertension was discovered.
  
  
  CONCLUSIONS
  During the period of study, 582 patients presented a High BP. To 64 % of those who had a control of BP this imbalance was confirmed. The patients (n=27) presenting a high cardiovascular risk had a proposition of fast consultation. This one allowed discovering 4 secondary hypertension. There is thus a utility to estimate the BP in a systematic way at Emergency Department.
authors.affiliation: AP-HP, hôpital Lariboisière, service d'accueil des urgences, 75010 Paris, France. nthiercelin@ch-dreux.fr
authors.forename: Christian
authors.initials: C
authors.lastname: Fulleda
authors.forename: Said
authors.initials: S
authors.lastname: Laribi
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Tartière
authors.forename: Myriam
authors.initials: M
authors.lastname: Chemouny
authors.forename: Sébastien
authors.initials: S
authors.lastname: Gallula
authors.forename: Vincent
authors.initials: V
authors.lastname: Cahen
authors.forename: Patrick
authors.initials: P
authors.lastname: Plaisance
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D005602:France; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D018570:Risk Assessment; D055815:Young Adult