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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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miércoles, 23 de noviembre de 2016

Hypertension

 Mizzou EM - November 23, 2016 - By Jared Ebert 
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..."In emergency department patients found to have asymptomatic hypertension, how does pharmacologic intervention compared to no intervention affect patient outcomes?
Conclusion
Patients in the ED with asymptomatic markedly elevated blood pressure can be discharged home. Routine laboratory assessing for end organ damage may be avoided in lower risk populations but should be performed in those considered higher risk (poor follow up, older, black patients). Attempts to drop a patient’s blood pressure significantly in the ED are not recommended and can be harmful (ACEP Level B Recommendation). After routine laboratory work up, patients that are higher risk may be started on long term antihypertensive therapy; low risk patients may be discharged home with follow up alone.
Bottom line
Patients in the ED with asymptomatic markedly elevated blood pressure can be discharged home."