Author Credentials

Charles Meadows Mehiar Elhamdani Larry Dial Murad Kheetan Khaled Al-Baqain (resident, Internal Medicine)

Author ORCID Identifier

Charles Meadows 0000-0002-6105-8842

Mehiar Elhamdani 0000-0003-0066-9997

Larry Dial 0009-0003-2980-5339

Murad Kheetan 0000-0002-3504-0518

Khaled Al-Baqain 0009-0002-8425-1984




Cardiology | Circulatory and Respiratory Physiology | Internal Medicine | Medical Pharmacology | Medicine and Health Sciences | Nephrology


Hypertension is common in hospitalized patients and is most often asymptomatic. While there are no guidelines for management of such patients, aggressive blood pressure treatment, including the use of intravenous antihypertensives, is often undertaken. While evidence of benefit is lacking, emerging data suggest that treatment of asymptomatic hypertension in the inpatient setting is associated with adverse outcomes, including acute kidney injury and ischemic stroke. In addition, the intensification of a preexisting antihypertensive regimen at hospital discharge significantly increases the risk of readmission without significant improvement in outpatient hypertension control. Such a combination of a common problem with the demonstrable benefit of a less aggressive approach offers considerable opportunity to improve patient care. This review article will discuss the existent literature and a specific case and make suggestions for improvement of practice.