Please select the option that best describes you:
Topics:
Nephrology • Cardiology • Autonomics and Hypertension • Hypertension • Hospital Medicine • General Hospital Medicine
What is your approach to managing incidental hypertension without evidence of end-organ damage in hospitalized patients?
How do you consider prn antihypertensives while admitted and/or adjusting a home antihypertensive regimen?
Answer from: at Academic Institution
Approaches to managing inpatient HTN without evidence of end-organ dysfunction have evolved over the years. I worked with some attendings who felt strongly about treating. There was a great JAMA IM article that explored this very question for non-cardiac patients. Link here: Rastogi et al., PMI...
Sign In or Register to read more
Answer from: at Academic Institution
This is a great question, and we finally have convincing evidence to help us decide what to do and hopefully change our practice. I agree with Dr. @Zhang's comments above. Below is my approach Bress et al., PMID 38804130The main point is to differentiate asymptomatic elevated BP (previously urgency)...
Answer from: at Community Practice
Agree with both. What is not clear is how to change the inertia. A few barriers are the Hospitalists' order set with PRN meds and the hospital nursing staff who drive providers' reaction to treat.
Hopefully, hospital systems will start implementing policies to overcome barriers.