title: An Evidence-Based Approach To Managing Asymptomatic Elevated Blood Pressure In The Emergency Department.
abstract: Hypertension is a common chronic illness that affects 50 million individuals in the United States and approximately 30% of adults worldwide. United States emergency departments report > 900,000 annual visits for hypertension-related complaints and studies show that approximately one-third of patients with elevated blood pressure lack a formal prior diagnosis. These patients are at risk for long-term morbidity and mortality from cardiovascular, ocular, and neurological consequences. This review examines the most current evidence regarding emergency department treatment of asymptomatic hypertension, including differentiating hypertensive emergency from poorly controlled hypertension, recommendations for choosing appropriate treatment, determining the need for admission, and guidelines for disposition and follow-up.
authors.affiliation: Assistant Professor of Emergency Medicine, Alpert Medical School of Brown University, Rhode Island Hospital, and The Miriam Hospital, Providence, RI.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Goldberg
authors.affiliation: Associate Professor, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Kaushal
authors.initials: K
authors.lastname: Shah
authors.affiliation: Professor, Emergency Medicine Program Director, Vice Chair for Education, Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA.
authors.forename: Philip
authors.initials: P
authors.lastname: Shayne
mesh_terms: D001795:Blood Pressure Determination; D004636:Emergency Service, Hospital; D006760:Hospitalization; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*