An Evidence-Based Approach to Asymptomatic Hypertension in Urgent Care (Pharmacology CME) | Points & Pearls
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An Evidence-Based Approach to Asymptomatic Hypertension in Urgent Care (Pharmacology CME)

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Points & Pearls Excerpt

  • The 2025 AHA/ACC guideline for management of hypertension in adults defines normal blood pressure as systolic blood pressure <120 mm Hg and diastolic blood pressure <80 mm Hg, and provides new definitions for elevated blood pressure, stage 1 hypertension, and stage 2 hypertension. (See Table 2.)
  • Severe hypertension (>180/120 mm Hg) without signs of end-organ damage is not a hypertensive emergency, but it becomes one if acute target-organ dysfunction is present.1,6
  • To recognize hypertensive emergencies, use the BARKH acronym—brain, arteries, retina, kidney, heart—to remember target-organ systems at risk. Look for signs of stroke, aortic dissection, retinal hemorrhage, acute kidney injury, or heart failure.7 (See Table 3.)
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Publication Information
Author

Melissa Orman, MD

Peer Reviewed By

Claude E. Shackelford, MD

Publication Date

December 1, 2025

CME Expiration Date

December 1, 2028    CME Information

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