Meeting
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: 321
Hospital Medicine 2020, Virtual Competition
Background: Current guidelines recommend oral (PO) medications as first line therapy for management of hypertensive urgency. However, patients without end-organ damage who are symptomatic or have extremely high blood pressure (BP) may be classified as either “hypertensive urgency” or “emergency” by treating physicians.Objective: In a cohort of hospitalized patients with severe hypertension but no organ […]
Abstract Number: 325
Hospital Medicine 2020, Virtual Competition
Background: Intravenous (IV) anti-hypertensive medications such as labetalol and hydralazine are commonly administered as needed or “prn” to asymptomatic patients in the hospital with elevated blood pressure. This practice may lead to patient harm (such as hypotension or stroke) and increased costs without any known benefit. Much attention has been focused on this issue in […]
Abstract Number: 505
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A previously healthy sixteen-year old Japanese-American female presented to her primary care provider following one week of frontal headache, dizziness, and a feeling of “floating while walking.” Exam revealed upper extremity blood pressure of 148/93 and a loud bruit across her left lower back. A renal ultrasound ruled out renal artery stenosis, but […]
Abstract Number: A22
SHM Converge 2022
Background: Hypertension occurs in up to 75% of hospitalized patients. However, less than 1% have “hypertensive emergency,” defined as severely elevated blood pressure (BP) with end-organ injury. Current guidelines support emergent treatment of hypertensive emergency but recommend against immediate reduction of severely elevated BP in patients without end-organ injury (i.e., asymptomatic hypertension). Recent literature suggests […]