Hypertension treatment

Cardiology PGY1 PGY2 PGY3 PGY4

What is your favorite hypertension numbers to treat in ED? there are a lots of controversies regarding the exact number to start treatment in ED but recent Cochrane review on mild HTN suggest that antihypertensive agents used in the treatment of adults with hypertension stage I (systolic BP 140-159 mmHg and/or diastolic BP 90-99 mmHg) have not been shown to reduce mortality or morbidity in RCTs. They reviewed 11 RCTS with 8912 patients and they concluded this result. also 9% of patients stopped their medication due to side effects of meds. Now , we should share with our IM colleagues that do not panic with this numbers unless there are other reasons to start treatment.

Link to Cochrane