What is your approach to managing incidental hypertension without evidence of end-organ damage in hospitalized patients?

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., PMID 333...

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. @Dr. First Last's comments above. Below is my approach Bress et al., PMID 38804130

The main point is to differentiate asymptomatic elevated BP (previously...

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.