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The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association

Hypertension Journal

Over the past 3 decades, a substantial body of high-quality evidence has guided the diagnosis and management of elevated blood pressure (BP) in the outpatient setting. In contrast, there is a lack of comparable evidence for guiding the management of elevated BP in the acute care setting, resulting in significant practice variation.

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SHINE Trial Sheds Light on Deadly Stroke Complication

DAIC

UVA Health's Karen Johnston, MD, the SHINE trial leader, was pleased to see the new insights into best practices for stroke care. The SHINE trial suggests that we as providers need to have a similar concern for high blood sugar after stroke treatment as we do already with other risk factors, such as high blood pressure.”

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Code ICH: A Call to Action

Stroke Journal

Based on current evidence, we advocate for the widespread adoption of an early bundle of care for patients with intracerebral hemorrhage focused on time-based metrics for blood pressure control and emergency reversal of anticoagulation, with the goal of optimizing the benefit of these already widely used interventions.

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What is New in the ESC Hypertension Guideline?

Hypertension Journal

Blood pressure guidelines serve as a beacon of best practice for the diagnosis and management of hypertension. Similar to preceding hypertension guidelines, the 2018 guideline highlighted the myriad risks associated with inadequate blood pressure management and the importance of improving blood pressure control.

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Abstract NS1: Identification of Subarachnoid Hemorrhage: The Impact of a Nurse Led Screening Tool Utilizing the Ottawa Rule

Stroke Journal

Earlier identification, along with order set initiation, supports best practice.Method:Patients presenting with nontraumatic HA are assessed by an ED RN to determine if HA reached maximum intensity within one hour of initial onset. If criterion is met, a best practice alert (BPA) triggers within the electronic medical record.

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Abstract NS7: Improving Emergency Department Hemorrhagic Stroke Management

Stroke Journal

Project analysis began by identifying care opportunities. Development of such a process raised the standard of care for this patient population and leads to overall improvement in patient management.

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Genomics plc Publishes Clinical Trial Results Demonstrating Successful Integration and Clinical Utility of Integrated Risk Scores Combining Polygenic and Clinical Risk of Cardiovascular Disease in NHS Primary Care

DAIC

We could not show it in a short study like this, but I believe this approach of integrating genetic information into routine best practices could save lives and be a game-changer for patients and GPs. QRISK incorporates factors such as blood pressure, cholesterol, BMI, smoking status, age, sex, and family history to estimate risk.