Template:Asymptomatic hypertension evaluation
Asymptomatic hypertension
- Routine screening for acute target organ injury (e.g. creatinine, UA, ECG) is NOT required (Level C)[1]
- In select patient populations, screening of creatinine may identify injury that affects disposition (Level C)[1]
Suggested algorithm:
- Urine pregnancy in all women of child-bearing age (consider preeclampsia if positive)
- <120 diastolic
- No screening ED workup --> home with outpatient treatment
- >210 systolic or >120-130 diastolic
- Chem 7 (creatinine) --> home with outpatient treatment if no evidence of acute renal failure
- "No other diagnostic screening tests (e.g. UA, ECG) appear to be useful"[1]
- Chem 7 (creatinine) --> home with outpatient treatment if no evidence of acute renal failure
- ↑ 1.0 1.1 1.2 Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients in the Emergency Department with Asymptomatic Elevated Blood Pressure. ACEP Clinical Policies Subcommittee on Asymptomatic Hypertension. Annals of Emergency Medicine. 2013; 62(1):59-63.