Hypertensive Urgency Not Really an Urgent Problem
Am Fam Physician. 2016 Nov 1;94(9):750a-753.
How urgently should we aim to control hypertensive urgency?
It seems that rapid treatment of patients with hypertensive urgency is unsuccessful and unnecessary. In this study of almost 60,000 patients, 80% did not have controlled blood pressure (less than 140/90 mm Hg) after one month of treatment, including patients who were hospitalized. On the other hand, the risk of a major cardiovascular event was also low: one in 1,000 over the next seven days. (Level of Evidence = 2b)
These authors identified all patients in a single health care system (N = 58,535) who presented
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