Elevated blood pressure during emergency departments visit is associated with increased rate of hospitalization for heart failure: A retrospective cohort study

Abstract

There is a limited literature discussing the long-term outcome of patients admitted to the emergency department with elevated blood pressure. The aim of the present study was to evaluate outcomes of patients with hypertension who attended an emergency department. All patients with hypertension who attended an emergency department without target organ damage were evaluated. A composite end point at 18months, which included all-cause mortality, acute coronary syndrome, cerebrovascular accident, or hospitalization for heart failure, were compared between patients with hypertension and those with normotension. Overall, 410 patients were included in the study. Baseline characteristics were similar between patients with hypertension and those with normotension, except chronic renal failure being more prevalent in patients with hypertension. The composite primary end point occurred similarly in both groups; however, hospitalization for heart failure was significantly more common in patients with hypertension. Elevated blood pressure during an emergency department visit is associated with an increased risk for hospitalization for heart failure during an 18-month follow-up period compared with normotension. | INTRODUCTION

Correlation of Systolic Blood Pressure With the Improvement of Acute Coronary Syndrome Patients Admitted in the Emergency Department: A Retrospective Cohort Study

“…Several clinical studies have evaluated the impact of blood pressure on clinical outcomes in patients with ACS other than death. A retrospective cohort study found that, compared with those with normal blood pressure, those with elevated blood pressure during ED visits were associated with an increased risk of hospitalization due to heart failure 19 . Lower blood pressure in ACS patients was signi cantly associated with an increased risk of hospitalization for cardiovascular events 20 .…”

Two-­year prognosis of patients hospitalized for decompensated heart failure in a district general hospital

“…1,10,30 Several relevant risk factors for poorer HF prognosis have been reported and those were confirmed in our study. 13,[31][32][33][34][35][36][37][38][39] The MADIT II (Multicenter Automatic Defibrillator Implan tation Trial II) cohort analysis identified re nal failure as one of the strongest predictors of poor prognosis. 35 Gheorghiade et al 36 and Ambrosy et al 37 listed renal failure and low systolic blood pressure among factors influ encing the prognosis of patients hospitalized for HF.…”

To treat or not to treat: that is the question

“…In a study from Israel, Ayalon‐Dangur and colleagues evaluated the outcome of patients with hypertension who visited emergency departments (ED) over an 18‐month period. They included all patients with hypertension attending an ED who had no target organ damage.…”