Treatment of asymptomatic elevated blood pressure linked to cardiac and kidney injury

Medical Xpress / Beth Israel Deaconess Medical Center / JAMA Internal Medicine ^ | June 1, 2023 | Jacqueline Mitchell / Timothy S. Anderson et al

[ConservativeMind]

Blood pressure is closely monitored in hospitalized patients. Severely high blood pressure can lead to a heart attack, stroke, or damage blood vessels and organs including the heart, brain, kidneys and eyes. However, most hospitalized patients experience transiently elevated blood pressure without signs of organ damage, also referred to as asymptomatic hypertension, which is sometimes treated with blood pressure medications.

In a retrospective cohort study, physician-researchers found that receiving intensive antihypertensive treatment as an inpatient was linked with greater risk of adverse events, particularly for patients receiving the medication intravenously as opposed to orally.

"In the hospital, blood pressure is often elevated due to pain, fever, anxiety, new medication and other hospital factors. It is not clear that treating transient elevations with blood pressure medications is helpful, it may instead result in overtreatment."

Anderson and colleagues compared outcomes of hospitalized patients with elevated blood pressure who received intensive blood pressure treatment in the first 48 hours after admission to those who did not. The primary outcome was a composite of adverse effects including inpatient mortality, acute kidney injury, cardiac injury, stroke, and transfer to the intensive care unit.

The cohort included 66,140 older adults, primarily male, who were hospitalized for non-cardiac reasons and had elevated blood pressures in the first 48 hours of hospitalization.

Compared to hospitalized patients with elevated blood pressure who did not receive intensive treatment within the first 48 hours of hospitalization, patients who received antihypertensive medication were at greater risk for adverse clinical outcomes, including cardiac injury, acute kidney injury, and ICU transfer. Receiving antihypertensives intravenously further heightened the risk.

[ConservativeMind]

This appears to hold true for non-brain injury occasions, as a different study showed rapid blood pressure correction greatly helped with brain bleeding.

[ConservativeMind]

Here is the other study:

Tens of thousands of lives a year could be saved by new treatment protocol for brain hemorrhage (Quick correction of blood pressure)

https://freerepublic.com/focus/f-chat/4156883/posts

[ConservativeMind]

The “Take Charge Of Your Health” Ping List
This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20 - 25% fewer pings) or “Everything” list.

[bigbob]

Kind of “white coat hypertension” on steroids...

[TheCipher]

I had a mild ischemic (non bleeding) stroke last year. BP was elevated but they didn’t treat it with medication for a week. They said recovery was better if they let it come down slowly on its own for the first 7 days after the stroke. They were correct. No problems afterward and made a quick recovery.

[nickcarraway]

When I was in the hospital, the hospitalit wanted me to take medication, because I had a slightly elevates BP. But of course I did, I was in the hospital.

[philman_36]

I wonder what they think of testicular injury.

I WOULD NOT PLAN MOTHERHOOD WITH A 'VACCINATED' MAN PATHOLOGIST - ARNE BURKHARDT

He's dead now.
Rest In Peace Dr Arne Burkhardt who pioneered work in the pathology of the COVID "vaccines"

[silent majority rising]

Take me off your list please 🙏 overwhelmed.