Open AccessPattern of Blood Pressure Response in Patients With Severe Asymptomatic Hypertension Treated in the Emergency Department
Author(s) -
Rock Wasseem,
Zbidat Khaled,
Schwartz Naama,
Elias Mazen,
Minuhin Itamar,
Shapira Reuma,
Grossman Ehud
Publication year - 2016
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12765
Subject(s) - medicine , asymptomatic , emergency department , blood pressure , ambulatory blood pressure , ambulatory , hypertensive emergency , emergency medicine , cardiology , pediatrics , psychiatry
Severe asymptomatic hypertension ( SAH ) is a common cause of emergency department ( ED ) visits. Despite recommendations against using short‐acting blood pressure ( BP )–lowering drugs in the ED , it is still a common practice. The authors characterized BP response in the ED utilizing 24‐hour ambulatory BP monitoring ( ABPM ). Patients with SAH who were not admitted to the hospital were recruited. All patients underwent 24‐hour ABPM . A total of 21 patients (14 females) with a mean age of 58±16 years were studied. BP decreased from 199±16/101±17 mm Hg to 154±34/83±23 mm Hg after 5 hours but then rose to 174±25/94±17 mm Hg after 19 hours. In 17 patients, systolic BP was ≥180 mm Hg after 6.7±5.3 hours. Two patients experienced severe hypotension (systolic BP <90 mm Hg). Thus, data from a single site in Israel support the current recommendations for management of SAH in the ED .