JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Approach and intervention in blood pressure abnormalities
Abstract
Hypertension is when blood pressure (BP) is measured above the limits of what is considered normal. Almost all guidelines define hypertension as a systolic blood pressure (SBP) above 140 mmHg and a diastolic blood pressure (DBP) above 90 mmHg. Blood pressure should not be seen only as a numerical value that should be monitored and lowered when it rises. Blood pressure is an important vital sign that can provide important clues to the clinician about the patient's current condition. Long-term control of hypertension in individuals significantly reduces cardiovascular risk. In the case of hypertensive emergencies or urgent situations, antihypertensive treatment should be initiated after consideration of the approach to the recommendations. Recent observational studies suggest that pharmacologic treatment of acute and asymptomatic in-hospital BP elevations may not be beneficial and may even increase the risk of in-hospital and post-discharge complications. The patient's current clinical status and additional comorbidities should be evaluated, and attention should be paid to contraindications and drug dosage adjustments.

Keywords : Hypertension, systolic blood pressure, diastolic blood pressure

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1. Unger T, Borghi C, Charchar F, et al. 2020 International Societyof Hypertension global hypertension practice guidelines.Hypertension. 2020;75(6):1334-1357.
2. Mangoni AA, Jarmuzewska EA, Gabb GM, Russell P.Blood pressure elevations in hospital. Australian Prescriber.2022;45(6):205.
3. Axon RN, Cousineau L, Egan BM. Prevalence and managementof hypertension in the inpatient setting: a systematic review. JHosp Med. 2011;6(7):417-422.
4. Aydoğdu S, Güler K, Bayram F, et al. Türk hipertansiyon uzlaşıraporu 2019. Turk Kardiyol Dern Ars. 2019;47(6):535-546.
5. Umemura S, Arima H, Arima S. et al. The Japanese Society ofHypertension Guidelines for the management of hypertension(JSH 2019). Hypertens Res. 2019;42(9):1235-1481.
6. Penmatsa KR, Teki P, Gupta A. Hypertension in the hospitalizedpatient: an update. Nefrologia. 2021;41(6):605-611.
7. Orlov NM, Arora VM. Things we do for no reason™: routineovernight vital sign checks. J Hosp Med. 2020;15(5):272-274.
8. Axon RN, Cousineau L, Egan BM. Prevalence and managementof hypertension in the inpatient setting: a systematic review. JHosp Med. 2011;6(7):417-422.
9. Meadows C, Elhamdani M, Larry D, et al. Management ofasymptomatic hypertension in the inpatient setting. Marshall JMed. 2023;9(3):5.
10. Mirdamadi A, Etebari M. Comparison of manual versusautomated blood pressure measurement in intensive care unit,coronary care unit, and emergency room. ARYA Atherosclerosis.2017;13(1):29.
11. Gauer R. Severe asymptomatic hypertension: evaluation andtreatment. Am Fam Physician. 2017;95(8):492-500.
12. Rehman S, Hashmi MF, Nelson VL. Blood Pressure Measurement.[Updated 2022 Dec 28]. In: StatPearls [Internet]. Treasure Island(FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482189/
13. Rodriguez MA, Kumar SK, De Caro M. Hypertensive crisis.Cardiol Rev. 2010;18(2):102-107.
14. Türk Kardiyoloji Derneği. 2013 Ulusal hipertansiyon tedavi vetakip klavuzu. Türk Kardiyoloji Derneği Arşivi [online]. Erişimadresi: http://www. tkd. org. tr/kilavuz/k03. htm Erişim tarihi, 22,2023.
15. Pierin AMG, Flórido CF, Santos JD. Hypertensive crisis: clinicalcharacteristics of patients with hypertensive urgency, emergencyand pseudocrisis at a public emergency department. Einstein (SaoPaulo). 2019;17(4):eAO4685.
16. Balahura AM, Moroi ŞI, Scafa-Udrişte A, et al. The managementof hypertensive emergencies—is there a “magical” prescriptionfor all? J Clin Med. 2022;11(11):3138.
17. Whelton PK, Carey RM, Mancia G, et al. Harmonizationof the American College of Cardiology/ American HeartAssociation and European Society of Cardiology/EuropeanSociety of Hypertension blood pressure/hypertension guidelines:comparisons, reflections, and recommendations. Eur Heart J.2022;43(35):3302-3311.
18. Alley WD, Schick MA. Hypertensive Emergency. [Updated 2023Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearlsPublishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470371/
19. Qureshi AI, Palesch YY, Foster LD, et al. Blood pressure-attainedanalysis of ATACH 2 trial. Stroke. 2018;9(6):1412-1418.
20. Garovic VD. Hypertension in pregnancy: diagnosis, bloodpressure goals, and pharmacotherapy: a scientific statementfrom the American Heart Association. Hypertension.2022;79(2):e21-e41.
Article available in :
Volume 4, Issue 6, 2023
Page : 710-714
https://doi.org/10.47582/jompac.1398083
Article Information
Received : 30 Kas 2023
Accepted : 25 Ara 2023
Published : 31 Ara 2023
Corresponding Author :

Artuner Varlıbaş: Department of Internal Medicine, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Haktanıyan Z, Varlıbaş A, Çifci A. Approach and intervention in blood pressure abnormalities. J Med Palliat Care. 2023;4(5):710-714.

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