Posted on 12/04/2022 6:57:19 PM PST by ConservativeMind
Patients in hospital for non-heart related conditions may be unnecessarily receiving blood pressure medication that has no benefit and could instead be harmful in the short term, a new review has found.
Led by pharmacologist Professor Arduino Mangoni, the article highlights that while identifying and treating high blood pressure in the community is of vital importance, it's likely that in-hospital elevations in blood pressure are relatively common and might not reflect poorly controlled blood pressure before admission.
"The measurement of blood pressure in hospital patients significantly differs from the best practice recommended for primary care and outpatients," says Professor Mangoni, a Strategic Professor of Clinical Pharmacology in Flinders' College of Medicine and Public Health.
"Measurements may be taken inaccurately, and in many cases factors such as pain, anxiety, noise and interrupted sleep patterns may be contributing to abnormal readings that do not need to be medically treated."
The review found recent studies suggest treating acute, asymptomatic, in-hospital elevations in blood pressure may have no benefit. Instead, they may increase the risk of in-hospital and post-discharge complications.
The authors say a significant problem in investigating in-hospital blood pressure elevations and their management is the lack of robust protocols.
"The industry needs to review the criteria used by hospital medical emergency teams in relation to blood pressure elevations," says Professor Mangoni.
"Pending the development of robust measurement protocols in hospitalized patients, acute blood pressure elevations without additional symptoms or organ damage should not automatically equal treatment.
"Rather, such elevations should facilitate follow-up of blood pressure and other cardiovascular risk factors after discharge, including clear communication with GPs to appropriately plan investigations and management."
(Excerpt) Read more at medicalxpress.com ...
What do you call mildly high? It seems every ten years they redefine high blood pressure numbers down an extra ten points.
Of course they do...gets more people onto the Big Pharma gravy train.
“Give this man 500 mg of Thorazine, he needs it!”
https://www.youtube.com/watch?v=vndiMloYcYU
Going to the hospital could be suicide.
I do not worry so long as my blood pressure remains BELOW 135/85. Because I do aerobic exercise every other day. Even at age, 82, my EKG is always normal, I do not have chest pains or irregular heart beats. Resting BPM 66.
As we get older, it is natural proces that arteries are not as supple as teenagers. Harder arteries will increase blood pressure. It is simple hydro-dynamics at work. Blood pressure pills can not cure that.
Best thing to do is regular exercise to minimize fat plaque buid-ups in arteries. That plaque build can cause strokes and heart attacks.
Such brilliant deductions from the medical community.
It FINALLY occurred to someone that in hospital BP might be higher than normal????
And we trust these rocket scientists with our healthcare in life and death situations??????
all about the $$$$.....
ER docs also prescribe stating with impunity. Nurse told me name of drug, hubbie n I both said that’s not what I take. After I got home, realized it was statin.. my BP while there wasn’t high enough to prescribe. So I have to explain to yet another doc that I don’t fit the protocol.
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