Pattern of Blood Pressure Response in Patients With Severe Asymptomatic Hypertension Treated in the Emergency Department

被引：6

作者：

Rock, Wasseem ^{[1
,2
]}

Zbidat, Khaled ^{[1
,2
]}

Schwartz, Naama ^{[3
,4
]}

Elias, Mazen ^{[1
,2
]}

Minuhin, Itamar ^{[2
,5
]}

Shapira, Reuma ^{[2
,5
]}

Grossman, Ehud ^{[6
,7
,8
]}

机构：

[1] Emek Med Ctr, Dept Internal Med C, Afula, Israel

[2] Techn Inst Technol, Rappaport Fac Med, Haifa, Israel

[3] Emek Med Ctr, Clin Res Unit, Afula, Israel

[4] Univ Haifa, Sch Publ Hlth, Haifa, Israel

[5] Emek Med Ctr, Dept Emergency Med, Afula, Israel

[6] Chaim Sheba Med Ctr, Dept Internal Med D, Tel Hashomer, Israel

[7] Chaim Sheba Med Ctr, Hypertens Unit, IL-52621 Tel Hashomer, Israel

[8] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

来源：

JOURNAL OF CLINICAL HYPERTENSION | 2016年 / 18卷 / 08期

关键词：

SUBLINGUAL CAPTOPRIL; EUROPEAN-SOCIETY; ORAL CAPTOPRIL; NIFEDIPINE; MANAGEMENT; CLONIDINE; URGENCIES;

D O I：

10.1111/jch.12765

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Severe asymptomatic hypertension (SAH) is a common cause of emergency department (ED) visits. Despite recommendations against using short-acting blood pressure (BP)-lowering drugs in the ED, it is still a common practice. The authors characterized BP response in the ED utilizing 24-hour ambulatory BP monitoring (ABPM). Patients with SAH who were not admitted to the hospital were recruited. All patients underwent 24-hour ABPM. A total of 21 patients (14 females) with a mean age of 58 +/- 16 years were studied. BP decreased from 199 +/- 16/101 +/- 17 mm Hg to 154 +/- 34/83 +/- 23 mm Hg after 5 hours but then rose to 174 +/- 25/94 +/- 17 mm Hg after 19 hours. In 17 patients, systolic BP was >= 180 mm Hg after 6.7 +/- 5.3 hours. Two patients experienced severe hypotension (systolic BP <90 mm Hg). Thus, data from a single site in Israel support the current recommendations for management of SAH in the ED. (C) 2015 Wiley Periodicals, Inc.

引用

页码：796 / 800

页数：5

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