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Elevated blood pressure is frequently unrecognized and lacks appropriate follow-up in the emergency department setting.
Review of emergency department charts at three university-affiliated hospitals showed that less than half of all patients who had elevated blood pressure (BP) recorded were recognized by physicians to be hypertensive. At the primary teaching hospital, less than one third of patients with the greatest BP elevation (greater than 20 mm Hg above normal) were sent for some type of hypertension follow-up care.
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Roger I. Glass (1978) studied this question.
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