Playing a role in secondary prevention in the ED: longitudinal study of patients with asymptomatic elevated blood pressures following a brief education intervention: a pilot study.

摘要: Uncontrolled hypertension contributes significantly to cardiovascular morbidity and mortality is more frequently encountered among patients presenting the emergency department (ED).1,2 Approximately 50% of with previously undiagnosed who present elevated blood pressures in ED will continue have BP elevations one week after being discharged home.3 Hypertensive are a particularly high-risk group >50% stage II or higher (SBP ≥160 DBP ≥100).1 Significant percentages incidental findings not related patient's chief complaints. Incidental represents quandary for physician cannot guarantee follow-up treatment.4,5 Several studies found that only 7–25% given instructions outpatient follow-up.3–5 Currently, there no risk assessment stratification based upon pressure performed on hypertensive prior discharge from department. The medicine literature does provide definitive recommendations screening tests asymptomatic pressures.6 Published guidelines regarding management these recommend referral close primary care within 48–72 h.6 These same also urge future research optimal this patient population ED.6 The purpose study was determine progression subclinical heart disease an urban examine correlation changes brief education intervention.