Blood pressure elevations in hospital.

IF 3.4 Q2 PHARMACOLOGY & PHARMACY
Arduino A Mangoni, Elzbieta A Jarmuzewska, Genevieve M Gabb, Patrick Russell
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引用次数: 1

Abstract

Long-term hypertension control in the community significantly reduces cardiovascular risk. However, the benefit of controlling acute elevations of blood pressure in hospitalised patients is unclear. In-hospital elevations of blood pressure are relatively common and might not reflect poorly controlled blood pressure before admission. The measurement of blood pressure in hospital patients significantly differs from the best practice recommended for primary care and outpatients. Recent observational studies suggest that the pharmacological treatment of acute, asymptomatic, in-hospital elevations of blood pressure may have no benefit. However, it may increase the risk of in-hospital and post-discharge complications. Pending the development of robust inpatient measurement protocols, acute blood pressure elevations in hospitalised patients should not routinely require antihypertensive treatment in the absence of symptoms or acute end-organ damage. Rather, such elevations should facilitate follow-up of blood pressure and other cardiovascular risk factors after discharge.

医院血压升高。
长期控制社区高血压可显著降低心血管风险。然而,控制住院患者急性血压升高的益处尚不清楚。院内血压升高相对常见,可能并不反映入院前血压控制不良。医院患者的血压测量与推荐给初级保健和门诊患者的最佳实践有很大不同。最近的观察性研究表明,药物治疗急性,无症状,院内血压升高可能没有好处。然而,它可能会增加院内和出院后并发症的风险。在制定健全的住院患者测量方案之前,在没有症状或急性终末器官损伤的情况下,住院患者的急性血压升高不应常规要求降压治疗。相反,这种升高应该有利于出院后血压和其他心血管危险因素的随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Australian Prescriber
Australian Prescriber MEDICINE, GENERAL & INTERNAL-PHARMACOLOGY & PHARMACY
CiteScore
3.80
自引率
7.40%
发文量
71
审稿时长
>12 weeks
期刊介绍: Australian Prescriber is Australia''s free, national, independent journal of drugs and therapeutics. It is published every two months online. Our purpose is to help health professionals make informed choices when prescribing, including whether to prescribe a drug or not. To do this we provide independent, reliable and accessible information. As well as publishing short didactic reviews, we facilitate debate about complex, controversial or uncertain therapeutic areas. We are part of NPS MedicineWise, an independent, non-profit organisation providing medicines information and resources for health professionals, and stakeholders involved in the quality use of medicines. NPS MedicineWise is funded by the Australian Government Department of Health.
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