Key result
Active treatment of asymptomatic inpatient BP elevations increases short-term complication risk versus conservative care.
Why the study?
Although treating chronic hypertension reduces cardiovascular risk, little is known about how to manage acute blood pressure elevations in asymptomatic hospitalized patients.
Does active antihypertensive treatment improve outcomes in asymptomatic hospitalized patients with acute blood pressure elevations?
Does active antihypertensive treatment improve outcomes in asymptomatic hospitalized patients with acute blood pressure elevations?
Asymptomatic acute blood pressure elevations in hospitalized patients usually do not require immediate antihypertensive treatment, and active management may increase the risk of adverse complications.
Cautions against active treatment of asymptomatic inpatient BP elevations; hypothesis-generating and requires prospective RCTs.
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Tomáš Zelinka (2024) conducted a review in Asymptomatic hypertension during hospitalization. Active antihypertensive treatment vs. Conservative approach (no ad hoc treatment) was evaluated. Active treatment of asymptomatic blood pressure elevations during hospitalization increased the risk of in-hospital and early post-discharge complications compared to a conservative approach.
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