Overview

The clinical evaluation of hypertensive patients is aimed at determining the underlying reason for the hypertensive episode and ascertaining the effects on end organs. Management is determined by this assessment. Although patients with hypertension present to the ED relatively frequently, the number of individuals who actually require emergent intervention is small.10 ED management should begin with an accurate blood pressure measurement, confirmed by repeat assessment in both arms if the initial value is elevated. The challenge is to determine whether the presenting blood pressure reading is only a transient circumstantial elevation or is representative of the patient's baseline. The approach to hypertensive patients in the ED is summarized in the flow diagram in Fig 5.3,-1.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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