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Episode 938: AHA Policy on Management of Elevated Blood Pressure (BP) in the Acute Care Setting

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Manage episode 459564243 series 1397179
Innhold levert av medicalminute and Emergency Medical Minute. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av medicalminute and Emergency Medical Minute eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Many patients present to the ED with elevated BP

    • Many are referred from outpatient surgery centers or present after an elevated measurement at home

  • Persistent questions on the best way to treat these patients

  • The AHA published a scientific statement on the management of elevated BP in the acute care setting

    • Hypertensive emergencies: SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage

      • Includes aortic dissection or subarachnoid hemorrhage

      • Require aggressive treatment

    • Asymptomatic markedly elevated inpatient BP: SBP/DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage AND asymptomatic elevated inpatient BP: SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage

      • No benefits to urgent treatment in the ED, but there are harms to treating patients in this manner

      • These patients do not require IV medications

      • Provide reassurance and instructions on following up with their PCP to manage their BP in the outpatient setting

    • Removed the term “hypertensive urgency”

References

  1. Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024;81(8). doi:https://doi.org/10.1161/hyp.0000000000000238

Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3

Donate: https://emergencymedicalminute.org/donate/

  continue reading

1090 episoder

Artwork
iconDel
 
Manage episode 459564243 series 1397179
Innhold levert av medicalminute and Emergency Medical Minute. Alt podcastinnhold, inkludert episoder, grafikk og podcastbeskrivelser, lastes opp og leveres direkte av medicalminute and Emergency Medical Minute eller deres podcastplattformpartner. Hvis du tror at noen bruker det opphavsrettsbeskyttede verket ditt uten din tillatelse, kan du følge prosessen skissert her https://no.player.fm/legal.

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Many patients present to the ED with elevated BP

    • Many are referred from outpatient surgery centers or present after an elevated measurement at home

  • Persistent questions on the best way to treat these patients

  • The AHA published a scientific statement on the management of elevated BP in the acute care setting

    • Hypertensive emergencies: SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage

      • Includes aortic dissection or subarachnoid hemorrhage

      • Require aggressive treatment

    • Asymptomatic markedly elevated inpatient BP: SBP/DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage AND asymptomatic elevated inpatient BP: SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage

      • No benefits to urgent treatment in the ED, but there are harms to treating patients in this manner

      • These patients do not require IV medications

      • Provide reassurance and instructions on following up with their PCP to manage their BP in the outpatient setting

    • Removed the term “hypertensive urgency”

References

  1. Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024;81(8). doi:https://doi.org/10.1161/hyp.0000000000000238

Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3

Donate: https://emergencymedicalminute.org/donate/

  continue reading

1090 episoder

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