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- Title
Severe Hypertension in Hospitalized Patients: To Treat or Not to Treat?
- Authors
Giacona, John M; Vongpatanasin, Wanpen
- Abstract
A study published in the American Journal of Hypertension examined the treatment of severe hypertension (HTN) in hospitalized patients. The study found that approximately 44.2% of patients experienced a spontaneous reduction in blood pressure (BP) without the use of antihypertensive therapy. Factors such as chronic obstructive pulmonary disease (COPD), cardiac arrhythmia, age, serum potassium, white blood cell count, heart rate, body mass index, and recent exposure to steroids were associated with a spontaneous fall in BP. However, it is important to note that these correlations do not imply causation, and further research is needed to understand the underlying mechanisms. The study suggests that the use of antihypertensive medication in hospitalized patients with acute severe HTN without active target organ damage should generally be avoided to minimize potential risks.
- Subjects
HOSPITAL patients; HYPERTENSION; BULLOUS pemphigoid
- Publication
American Journal of Hypertension, 2024, Vol 37, Issue 4, p264
- ISSN
0895-7061
- Publication type
Article
- DOI
10.1093/ajh/hpad116