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Search Results for Hypertension
Abstract Number: 18
SHM Converge 2023
Case Presentation: Patient is a 45-year-old female with a history of esophageal reflux and dysmotility, asthma, depression/anxiety, and recent SARS-2-CoV infection (COVID-19) who presented to our hospital 9 months after initial and 3 months after recurrent COVID-19 with headache, dyspnea, and home blood pressures (BP) > 180/100. Patient reported intermittent symptoms for the last 3 […]
Abstract Number: 77
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Results from the recent SPRINT trial demonstrate lower rates of fatal and non-fatal major cardiovascular events and all-cause mortality in non-diabetics at high cardiovascular risk with intensive versus standard treatment, i.e., less than 120 versus less than 140 mmHg systolic, respectively. However, the long-term outcomes remain unknown.Methods: A validated state-transition model with multivariate risk […]
Abstract Number: 83
SHM Converge 2023
Background: There is evidence that significantly disruptive health events, such as hospitalizations, may increase patients’ receptiveness to interventions that lead to healthier lifestyle choices and medication adherence. For example, research has shown that hospitalizations are particularly effective settings for delivering some interventions aimed at preventing chronic disease morbidity, such as intervening on tobacco use. Additional […]
Abstract Number: 89
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Transient elevations of blood pressure are common in hospitalized older adults and may lead inpatient clinicians to intensify inpatient antihypertensive therapy and discharge patients on these intensified regimens. Intensification of outpatient regimens during hospitalization can easily become over-treatment once patients return home, increasing patients’ risk of adverse drug events including syncope and falls. Thus, […]
Abstract Number: 115
SHM Converge 2021
Background: Approximately 10% adults with Sickle Cell disease (SCD) has Pulmonary hypertension (PHTN). There are several etiologies like hypoxia driven and microvascular obstruction contributing to PHTN. However, the in-hospital outcomes of PHTN on SCD has not been well studied. Methods: We queried 2018 National Inpatient Sample (NIS) database to identify SCD and different types of […]
Abstract Number: 168
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: There is no consensus on the management of asymptomatic inpatient hypertension. This is alarming as the prevalence of inpatient hypertension may be as high as 72%. Hypertension treatment guidelines focus on chronic hypertension in the outpatient setting and evidence for inpatient management is lacking. Aggressive treatment of asymptomatic inpatient hypertension with intravenous antihypertensives is […]
Abstract Number: 171
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Though the advent of highly active anti-retroviral medications has improved survival in HIV infection, mortality from non-infectious complications such as pulmonary arterial hypertension (PAH) has increased. Also, studies have shown that PAH is the leading cause of hospitalization and death in patients with HIV associated PAH (HIV-PAH). However, not much is known about the […]
Abstract Number: 233
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Elevated blood pressure (BP) is common among hospitalized patients, with prevalence estimates between 50-70%. Many factors may contribute to this, such as pain, nausea, anxiety, or volume overload. However, true hypertensive emergency requiring rapid reduction in BP is relatively rare. The easy availability of intravenous (IV) antihypertensives may lead to unnecessary treatment of asymptomatic […]
Abstract Number: 276
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure under control. As such, HTN remains a large public health challenge, especially in patients with other comorbidities such as diabetes […]
Abstract Number: 291
SHM Converge 2021
Background: Acute severe hypertension without evidence of end-organ damage (previously defined as hypertensive urgency) is a relatively common occurrence in the inpatient setting that can be frustrating and worrisome to both physicians and floor staff alike. Hypertensive urgencies have not been shown to be associated with increased short-term cardiovascular risk or mortality(1). Chronic hypertension is […]