Scientists included in the study data from nearly 23 thousand patients at the Cleveland Clinic who were treated in 2017. None of them had a cardiac diagnosis that required strict blood pressure monitoring.
Above 140 millimeters of mercury (mm Hg), blood pressure increased in nearly 18,000 study participants. Some of them in response to this increase received treatment with drugs against hypertension, the rest did not receive them.
Patients who received treatment for hypertension that did not bother them had significantly higher risks of developing kidney and heart muscle damage compared to those who did not receive such treatment.
“There is a temptation to ‘fix’ the pressure of a hospitalized patient (just because you can). This practice is very common in all hospitals. There has never been any evidence that such treatment is associated with any improvement. Research shows it may be associated with long-term harm, ”commented John Bisognano of the University of Rochester Medical Center, who was not involved in the study, on MedPage Today.
Bisognano added that such medical interventions lead to an increase in the number of drugs that patients take after discharge.
It turned out that in most cases of an increase in blood pressure during the next measurement, it was lower by at least 20 mm Hg. Scientists point out that repeated blood pressure measurements after four hours could replace treatment, since these increases are short-lived in every third patient. At discharge, mean upper pressure was lower in the majority of 140 patients in two patient groups — those who received treatment for hypertension and who did not.