![]() 7īased on their training, emergency medicine clinicians naturally focus on the identification and management of hypertensive emergencies for those patients with elevated BP. 6 Data from 2016 showed that approximately 1.2 million ED visits had a chief complaint of essential hypertension. ![]() During this same period, patients hospitalized declined while hypertension-related ED visits increased. 5 In an analysis of 7 years of data from the Nationwide ED Sample (2006–2012), 165.9 million hypertension-related visits (23.6% of all visits) occurred. 2–4 More than 145 million ED visits take place each year in the United States, and the estimated prevalence of elevated BP among these patients is close to 45%. 1 We emphasize that reducing such disparities will require the entire house of medicine to work together to overcome the impact that elevated hypertension has on communities nationwide.Īn estimated 33–50% of adults in the United States have hypertension, and approximately 41–50% of these adults do not have adequate BP control. We highlight our experience in Detroit, where hypertension directly contributes to a 1.5-fold increase in years of potential life lost due to heart disease in African Americans compared with non-Hispanic Whites under age 75 years. Of equal, if not greater importance, we then deliberate on assessment of patients with nonmarkedly elevated BP and the evolving, essential role that emergency medicine has in population-level hypertension management and in reducing long-term cardiovascular disparities that remain particularly pervasive in urban environments where poor BP control is common. ![]() To improve the care of patients with elevated blood pressure (BP) in the emergency department (ED), we provide an overview of the management of hypertensive emergencies, followed by an overview of the management of markedly elevated BP without evidence of end-organ injury. Blood pressure, emergency department, health disparities, hypertension, hypertensive emergency ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |