What are the risks for asymptomatic patients who present with significantly elevated blood pressure?
Patients with markedly elevated blood pressures (BPs) (mean 186/121 mmHg) have ~40% risk of cardiovascular disease (CVD) at 18 months if untreated. The risk for treated patients ranges from 14% at one month to 1.2% at six months. Outcomes influenced by presenting BPs (and measurement accuracy)^ patient comorbidities^ follow-up^ socio-economic status and ethnicity. For most asymptomatic patients with BPs >180/110 mmHg^ addition or initiation of oral agents at presentation with close outpatient followup is reasonable.
Publication Date: 2017-3-20
Last Updated on PCR: 2017-03-31 13:40:09