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Hospital Readings Don't Equal Hypertension
- Inpatients with elevated BP usually should be labeled as "elevated blood pressure," not new chronic hypertension.
- Hospital readings alone rarely meet outpatient diagnostic standards for hypertension.
Investigate Reversible Causes First
- Ask why BP is high: missed home meds, pain, anxiety, withdrawal, urinary retention, dialysis timing, or sympathetic surge.
- Treat reversible causes before escalating antihypertensives in-hospital.
Hospital Impact On Long-Term BP Is Limited
- Most inpatient BP interventions aim for long-term benefits but produce short-term risk without long-term gain.
- Often the correct inpatient action is reflection and arranging follow-up, not immediate escalation.