Journal Feed Weekly Wrap-Up

We always work hard, but we may not have time to read through a bunch of journals. It’s time to learn smarter.
Originally published at JournalFeed, a site that provides daily or weekly literature updates.
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#1: Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension

Spoon Feed
This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP); while hypertensive emergency requires prompt treatment to lower BP, treatment of asymptomatic elevated BP in acute care settings may be harmful.

Source
The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024 Aug;81(8):e94-e106. doi: 10.1161/HYP.0000000000000238. Epub 2024 May 28. PMID: 38804130.

#2: Do Discharged Patients With Severe Hypertension Have Poor Outcomes?

Spoon Feed
This was a multi-hospital retrospective study of patients who presented to the emergency department with severe hypertension without end organ damage. The authors found that the 1 year rate of major adverse cardiovascular events (MACE) was 15.5%.

Source
Emergency Department Blood Pressure Treatment and Outcomes in Adults Presenting with Severe Hypertension. West J Emerg Med. 2024;25(5):680-689.

#3: Does Defibrillator Pad Placement Matter for OHCA?

Spoon Feed
Anterior-posterior (AP) – compared to standard anterolateral (AL) defibrillator pad placement – was associated with higher rates of ROSC among patients with out-of-hospital-cardiac-arrest (OHCA), but no difference in survival to discharge or functional survival at discharge was observed.

Source
Initial Defibrillator Pad Position and Outcomes for Shockable Out-of-Hospital Cardiac Arrest. JAMA Netw Open. 2024 Sep 3;7(9):e2431673. doi: 10.1001/jamanetworkopen.2024.31673. PMID: 39250154; PMCID: PMC11385052.

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