Physician Assistant Clinics
Although there are clear guidelines for the treatment of patients with end-organ damage (hypertensive crisis), there is little evidence to guide the evaluation of asymptomatic patients with elevated blood pressure in the ED. A reasonable approach is to attempt to ascertain the baseline blood pressure, determine if there is a high probability of occult end-organ damage, avoid nonbeneficial diagnostic studies, reduce further risk to patients by initiating conservative treatment in the ED, and allow the primary care provider to bring patients to the goal blood pressure. Generally acute treatment is not indicated and may possibly be harmful.
Grant, Jed and Borghei, Karimeh, "Asymptomatic Hypertension in the Emergency Department" (2017). Physician Assistant Faculty & Staff Articles. 1.