Annals of Emergency Medicine
Volume 51, Issue 3 , Pages 231-239 , March 2008

Utility of Routine Testing for Patients With Asymptomatic Severe Blood Pressure Elevation in the Emergency Department

Presented at the Society for Academic Emergency Medicine annual meeting, May 2006, San Francisco, CA.

  • David J. Karras, MD

      Affiliations

    • Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA
    • Corresponding Author InformationAddress for correspondence: David J. Karras, MD, Department of Emergency Medicine, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA 19140; 215-707-5032, fax 215-707-3494
    • ,
  • Linda K. Kruus, PhD

      Affiliations

    • Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA
    • ,
  • John J. Cienki, MD

      Affiliations

    • Department of Emergency Medicine, Jackson Memorial Hospital–University of Miami School of Medicine, Miami, FL.
    • ,
  • Marlena M. Wald, MLS, MPH

      Affiliations

    • Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA
    • ,
  • Jacob W. Ufberg, MD

      Affiliations

    • Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA
    • ,
  • Philip Shayne, MD

      Affiliations

    • Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA
    • ,
  • David A. Wald, DO

      Affiliations

    • Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA
    • ,
  • Katherine L. Heilpern, MD

      Affiliations

    • Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA

Received 30 November 2006 ,Revised 15 March 2007 ,Accepted 26 March 2007.

References 

  1. Shayne PH, Pitts SR. Severely elevated blood pressure in the emergency department. Ann Emerg Med. 2003;41:513–529
  2. Karras DJ, Ufberg JW, Heilpern KL, et al. Elevated blood pressure in emergency department patients. Acad Emerg Med. 2005;12:835–843
  3. Chiang WK, Jamshahi B. Asymptomatic hypertension in the ED. Am J Emerg Med. 1998;16:701–704
  4. Gray RO. Hypertension. In:  Marx JA editors. Rosen’s Emergency Medicine: Concepts and Practice. 6th ed.. St. Louis, MO: Mosby; 2006;p. 1310–1324
  5. Wu MM, Chanmugam A. Hypertension. In:  Tintinalli JE,  Kelen GD,  Stapczynski JS editor. Emergency Medicine: A Comprehensive Study Guide. 6th ed.. New York, NY: McGraw-Hill; 2004;p. 394–404
  6. Zampaglione B, Pascale C, Marchisio M, et al. Hypertensive urgencies and emergencies. Hypertension. 1996;27:144–147
  7. Karras DJ, Kruus LK, Cienki JL, et al. Management of severely elevated blood pressure in academic emergency departments: a multicenter study. Ann Emerg Med. 2006;47:230–236
  8. Rebbecchi T, Karras DJ, Heilpern KL, et al. Emergency physician evaluation of asymptomatic severe hypertension. [abstract] Ann Emerg Med. 1997;30:405
  9. Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560–2572
  10. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med. 1997;157:2413–2443
  11. Gray RO, Matthews JJ. Hypertension. In:  Marx JA editors. Rosen’s Emergency Medicine: Concepts and Practice. 5th ed.. St. Louis, MO: Mosby; 2002;p. 1158–1171
  12. Wu MM, Chanmugam A. Hypertension. In:  Tintinalli JE,  Kelen GD,  Stapczynski JS editor. Emergency Medicine: A Comprehensive Study Guide. 5th ed.. New York, NY: McGraw-Hill; 2000;p. 401–412
  13. Karras DJ, Heilpern KL, Riley LJ, et al. Urine dipstick as a screening test for serum creatinine elevation in patients with severe hypertension. Acad Emerg Med. 2002;9:27–34

 Supervising editor: Judd E. Hollander, MDAuthor contributions: DJK, JJC, JWU, PS, and KLH conceived the study and designed the protocol. DJK and LKK wrote the article. LKK performed the statistical analyses and has expertise in these procedures. DAW, MMW, and JJC supervised data collection. All authors participated substantially in the article revision. DJK takes responsibility for the paper as a whole.Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that may create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. This study was funded by an unrestricted research grant from Pfizer, Inc. The sponsor had no role in the study design; in the collection, management, analysis, or interpretation of data; or in the preparation, review, or approval of the article.Publication dates: Available online May 11, 2007.Earn CME Credit: Continuing Medical Education for this article is available at: www.ACEP-EMedHome.com.Reprints not available from the authors.

PII: S0196-0644(07)00439-8

doi: 10.1016/j.annemergmed.2007.03.032

Annals of Emergency Medicine
Volume 51, Issue 3 , Pages 231-239 , March 2008

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