Slow on the Draw-ED Management of Elevated BP in Older Adults.

IF 3.9 2区医学 Q1 PERIPHERAL VASCULAR DISEASE

Current Hypertension Reports Pub Date : 2024-03-01 Epub Date: 2023-11-21 DOI:10.1007/s11906-023-01284-y

Kianna Eurick-Bering, Brett Todd, Lauren Cameron-Comasco

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Abstract

Purpose of review: The purpose of this study is to review data surrounding the emergency department management of elevated blood pressure in older adults, including the management of hypertensive crisis and outpatient management of markedly elevated blood pressure.

Recent findings: Acute lowering of blood pressure in older adults with markedly elevated blood pressure may lead to serious complications without improvements in hospital length of stay, return visits, or mortality. Older adults presenting with elevated blood pressures without evidence of end-organ damage should be referred for outpatient management of their blood pressure. Treatment of hypertensive emergency should follow standard guidelines with additional considerations for aging physiology. Acute lowering of elevated blood pressure in older adults without evidence of end-organ damage has the potential for harm. If the emergency physician opts to acutely treat, they should consider the increased risk of side effects in older adults and avoid Beers list medications including short-acting nifedipine and clonidine.

Abstract Image

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老年人血压升高的抽ed治疗进展缓慢。

回顾目的:本研究的目的是回顾有关老年人高血压急诊科管理的数据，包括高血压危象的管理和门诊血压明显升高的管理。近期研究发现:在血压明显升高的老年人中，急性降压可能导致严重的并发症，而不会改善住院时间、复诊或死亡率。出现血压升高而无终末器官损伤证据的老年人应转诊接受门诊血压管理。高血压急诊的治疗应遵循标准指南，并考虑到衰老生理。在没有终末器官损伤证据的老年人中，急性降低血压升高有潜在的危害。如果急诊医生选择急性治疗，他们应该考虑老年人副作用增加的风险，并避免比尔斯列出的药物，包括短效硝苯地平和可乐定。

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

Current Hypertension Reports 医学-外周血管病

CiteScore

10.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.