Abstract：
The purpose of this study is to review data surrounding the emergency department management of elevated blood pressure in older adults, including the management of hypertensive crisis and outpatient management of markedly elevated blood pressure.
Acute lowering of blood pressure in older adults with markedly elevated blood pressure may lead to serious complications without improvements in hospital length of stay, return visits, or mortality. Older adults presenting with elevated blood pressures without evidence of end-organ damage should be referred for outpatient management of their blood pressure. Treatment of hypertensive emergency should follow standard guidelines with additional considerations for aging physiology. Acute lowering of elevated blood pressure in older adults without evidence of end-organ damage has the potential for harm. If the emergency physician opts to acutely treat, they should consider the increased risk of side effects in older adults and avoid Beers list medications including short-acting nifedipine and clonidine.
Acute lowering of blood pressure in older adults with markedly elevated blood pressure may lead to serious complications without improvements in hospital length of stay, return visits, or mortality. Older adults presenting with elevated blood pressures without evidence of end-organ damage should be referred for outpatient management of their blood pressure. Treatment of hypertensive emergency should follow standard guidelines with additional considerations for aging physiology. Acute lowering of elevated blood pressure in older adults without evidence of end-organ damage has the potential for harm. If the emergency physician opts to acutely treat, they should consider the increased risk of side effects in older adults and avoid Beers list medications including short-acting nifedipine and clonidine.
摘要：
目的：这项研究的目的是回顾有关老年人血压升高的急诊科管理的数据，包括高血压危象的管理和血压明显升高的门诊管理。
结果：血压明显升高的老年人急性降血压可能导致严重的并发症，但住院时间没有改善。回访,或死亡率。出现血压升高而没有终末器官损害证据的老年人应转诊为门诊血压管理。高血压急症的治疗应遵循标准指南，并考虑衰老生理因素。在没有终末器官损伤证据的情况下，老年人血压升高的急性降低具有潜在的危害。如果急诊医生选择急性治疗，他们应该考虑老年人副作用的风险增加,并避免使用Beers列出的药物,包括短效硝苯地平和可乐定.
结果：血压明显升高的老年人急性降血压可能导致严重的并发症，但住院时间没有改善。回访,或死亡率。出现血压升高而没有终末器官损害证据的老年人应转诊为门诊血压管理。高血压急症的治疗应遵循标准指南，并考虑衰老生理因素。在没有终末器官损伤证据的情况下，老年人血压升高的急性降低具有潜在的危害。如果急诊医生选择急性治疗，他们应该考虑老年人副作用的风险增加,并避免使用Beers列出的药物,包括短效硝苯地平和可乐定.
