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A Novel Pathway for the Management of Hypertension for Hospitalized Patients
- Source :
- Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. 6:150-160
- Publication Year :
- 2007
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2007.
-
Abstract
- About 65 million Americans, one fourth of the adult population in the United States, and over 1 billion people worldwide have hypertension (HTN). HTN therefore is present in 1 of every 4 patients admitted to any US hospital. Surprisingly, no guidelines are available for the management of inpatient HTN. Based on a comprehensive search of the literature we are proposing a pathway for the management of HTN in nonpregnant hospitalized patients. The pathway provides a definition and clinical assessment of HTN for patients admitted to the hospital. The assessment is followed by an organ/system based therapeutic approach specifying timing, blood pressure goals, recommended antihypertensive drug therapy and the sequence of add-on drugs. The pathway specifically discusses assessment and management of HTN in patients with (1) acute aortic syndrome, (2) acute neurologic syndrome, (3) acute coronary syndrome, (4) congestive heart failure, (5) renal failure, and (6) secondary forms. Finally, the pathway provides a step by step recommendation for the management of in hospital HTN and of hypertensive emergencies.
- Subjects :
- medicine.medical_specialty
business.industry
Hospitalized patients
Adult population
Blood Pressure
Severity of Illness Index
Hospitalization
Treatment Outcome
Hypertension
Emergency medicine
Critical Pathways
medicine
Humans
cardiovascular diseases
Cardiology and Cardiovascular Medicine
business
Antihypertensive Agents
Subjects
Details
- ISSN :
- 1535282X
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine
- Accession number :
- edsair.doi.dedup.....ca2b8fc760e40263164e9af85740a2d3