Pattern of Blood Pressure Response in Patients With Severe Asymptomatic Hypertension Treated in the Emergency Department |
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| Authors: | Wasseem Rock MD Khaled Zbidat MD Naama Schwartz MA Mazen Elias MD Itamar Minuhin MD Reuma Shapira MD Ehud Grossman MD |
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| Affiliation: | 1. Department of Internal Medicine C, Emek Medical Center, Afula, Israel;2. Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel;3. Clinical Research Unit, Emek Medical Center, Afula, Israel;4. School of Public Health, University of Haifa, Haifa, Israel;5. Department of Emergency Medicine, Emek Medical Center, Afula, Israel;6. Department of Internal Medicine D and Hypertension Unit, The Chaim Sheba Medical Center, Tel‐Hashomer, Israel;7. Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel |
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| Abstract: | 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. |
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