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Journals / Türk Fen ve Sağlık Dergisi / 2026 / Cilt: 2 Sayı: 2

Evaluation of Emergency Medical Assistant's Approach to Asymptomatic High Blood Pressure

Asemptomatik Tansiyon Yüksekliğine Acil Tıp Asistanlarının Yaklaşımının Değerlendirilmesi

Erhan Arıkan(BİLECİK EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0002-4800-3206
Nurcan Arıkan(BİLECİK EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0002-0964-940X
Ahmet Aktaş(SİVAS CUMHURİYET ÜNİVERSİTESİ TIP FAKÜLTESİ, İÇ HASTALIKLARI A.D)0000-0001-9464-0700
İsa Ardahanlı(BİLECİK EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0002-9309-803X
Pages
72–81
Publication Date
2021-05-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We think that training on this subject, especially in the first years, will be important in changing the approaches of residents in order to manage issues such as asymptomatic high blood pressure with a standard and correct approach.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: It is the evaluation of the approach of the Emergency Medicine assistants in the city of Istanbul to patients with asymptomatic hypertension admitted to the emergency department.
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Key Findings & Data:Material and Methods: A survey was conducted on 211 physicians working as emergency medical assistants in training and research hospitals and emergency medicine clinics in university hospitals in Istanbul between February 15 and July 15, 2015.
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Conclusion & Impact:Conclusion: We think that training on this subject, especially in the first years, will be important in changing the approaches of residents in order to manage issues such as asymptomatic high blood pressure with a standard and correct approach.
🔬Design:Survey & Empirical Study
📍Scope:2015 Verileri
⚙️Variables:Acil servis · Asemptomatik hipertansiyon · Acil tıp asistanları

Abstract

Purpose: It is the evaluation of the approach of the Emergency Medicine assistants in the city of Istanbul to patients with asymptomatic hypertension admitted to the emergency department. Material and Methods: A survey was conducted on 211 physicians working as emergency medical assistants in training and research hospitals and emergency medicine clinics in university hospitals in Istanbul between February 15 and July 15, 2015. Results: While 31.3% (n = 66) of the residents stated that they would start treatment in asymptomatic high blood pressure, 68.7% (n = 145) stated that they did not apply any treatment. For those who stated that they would start treatment; The limits of initiation of therapy ranged from 130 to 200 mm-Hg for systolic blood pressure, 80 to 120 mm-Hg for diastolic blood pressure, and 70 to 150 mm-Hg for mean arterial pressure. While 56.4% (n = 119) of the residents tended to request examination in patients presenting with asymptomatic high blood pressure, 43.6% (n = 92) stated that they would not want the test. 29.4% (n = 35) of those who stated that they would want to have a test, hemogram, 79.0% (n = 94) kidney function tests, liver function tests, 90.8% (n = 108) electrocardiography, 31.1% (n = 37) cardiac markers, 2.6% (n = 15) stated that they would require brain CT. Conclusion: We think that training on this subject, especially in the first years, will be important in changing the approaches of residents in order to manage issues such as asymptomatic high blood pressure with a standard and correct approach.

Özet

Amaç: İstanbul ilindeki Acil Tıp asistanlarının, acil servise başvuran asemptomatik tansiyon yüksekliği olan hastalara yaklaşımlarının değerlendirilmesidir. Gereç ve Yöntem: 15 Şubat-15 Temmuz 2015 tarihleri arasında İstanbul ilindeki eğitim ve araştırma hastaneleri ve üniversite hastanelerindeki Acil Tıp kliniklerinde, Acil Tıp asistanı olarak çalışan 211 hekime anket çalışması yapılmıştır. Bulgular: Asistanların % 31.3’ü (n=66) asemptomatik tansiyon yüksekliğinde tedaviye başlayacağını ifade ederken, % 68.7’si (n=145) herhangi bir tedavi uygulamadıklarını ifade etmiştir. Tedaviye başlayacağını ifade edenlerin; tedaviye başlama sınırları sistolik kan basıncı için 130 ile 200 mm-Hg arasında, diyastolik kan basıncı için 80 ile 120 mm-Hg arasında, ortalama arter basıncı için ise 70 ile 150 mm-Hg arasında değişmektedir. Asistanların % 56.4’ü (n=119) asemptomatik tansiyon yüksekliği ile gelen hastalarda tetkik isteme eğilimindeyken, % 43.6’sı (n=92) tetkik istemeyeceğini ifade etmişlerdir. Tetkik isteyeceğini ifade edenlerin % 29.4’ü (n=35) Hemogram, % 79.0’u (n=94) böbrek fonksiyon testleri, karaciğer fonksiyon testleri, % 90.8’i (n=108) elektrokardiyografi, % 31.1’i (n=37) kardiyak markırlar, % 2.6’sı (n=15) ise beyin BT isteyeceğini ifade etmiştir. Sonuç: Asemptomatik tansiyon yüksekliği gibi tedavi ve takibi arada konuların standart ve doğru bir yaklaşım ile yönetilebilmesi için, bu konuyla ilgili eğitimlerin özellikle ilk yıllarda verilmesinin, asistanların yaklaşımlarını değiştirmekte önemli olacağını düşünmekteyiz.

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Cite This Article

Arıkan, E., Arıkan, N., Aktaş, A., Ardahanlı, İ. (2021). Evaluation of Emergency Medical Assistant's Approach to Asymptomatic High Blood Pressure. Türk Fen ve Sağlık Dergisi, Cilt: 2 Sayı: 2, 72–81. https://doi.org/10.51972/tfsd.892363

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References (21)

  1. Adebayo, O., & Rogers, R. L. (2015). Hypertensive Emergencies in the Emergency Department. Emergency medicine clinics of North America, 33(3), 539–551. https://doi.org/10.1016/j.emc.2015.04.005
  2. Boal, A. H., Smith, D. J., McCallum, L., et al. (2016). Monotherapy With Major Antihypertensive Drug Classes and Risk of Hospital Admissions for Mood Disorders. Hypertension (Dallas, Tex.: 1979), 68(5), 1132–1138. https://doi.org/10.1161/HYPERTENSIONAHA.116.08188
  3. Chan, S. S., Graham, C. A., & Rainer, T. H. (2016). Hypertension in the Emergency Department. Current hypertension reports, 18(5), 37. https://doi.org/10.1007/s11906-016-0647-4
  4. Eshah, N. F., & Al-Daken, L. I. (2016). Assessing Public's Knowledge About Hypertension in a Community-Dwelling Sample. The Journal of cardiovascular nursing, 31(2), 158–165. https://doi.org/10.1097/JCN.0000000000000227
  5. Karras, D. J., Kruus, L. K., Cienki, J. Jet al. (2008). Utility of routine testing for patients with asymptomatic severe blood pressure elevation in the emergency department. Annals of emergency medicine, 51(3), 231–239. https://doi.org/10.1016/j.annemergmed.2007.03.032.
  6. Kessler, C. S., & Joudeh, Y. (2010). Evaluation and treatment of severe asymptomatic hypertension. American family physician, 81(4), 470–476.
  7. Ku, E., Lee, B. J., Wei, J., et al. (2019). Hypertension in CKD: Core Curriculum 2019. American journal of kidney diseases: the official journal of the National Kidney Foundation, 74(1), 120–131. https://doi.org/10.1053/j.ajkd.2018.12.044
  8. Laurent S. (2017). Antihypertensive drugs. Pharmacological research, 124, 116–125. https://doi.org/10.1016/j.phrs.2017.07.026
  9. Lee, S., Hess, E. P., Nestler, D. M., et al. (2013). Antihypertensive medication use is associated with increased organ system involvement and hospitalization in emergency department patients with anaphylaxis. The Journal of allergy and clinical immunology, 131(4), 1103–1108. https://doi.org/10.1016/j.jaci.2013.01.011
  10. Mills, K. T., Bundy, J. D., Kelly, T. N., et al. (2016). Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-Based Studies From 90 Countries. Circulation, 134(6), 441–450. https://doi.org/10.1161/CIRCULATIONAHA.115.018912
  11. Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature reviews. Nephrology, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2
  12. Pierin, A., Flórido, C. F., & Santos, J. D. (2019). Hypertensive crisis: clinical characteristics of patients with hypertensive urgency, emergency and pseudocrisis at a public emergency department. Einstein (Sao Paulo, Brazil), 17(4), eAO4685. https://doi.org/10.31744/einstein_journal/2019AO4685
  13. Shao, P. J., Sawe, H. R., Murray, B. L., et al. 2018). Profile of patients with hypertensive urgency and emergency presenting to an urban emergency department of a tertiary referral hospital in Tanzania. BMC cardiovascular disorders, 18(1), 158. https://doi.org/10.1186/s12872-018-0895-0
  14. Şengul, S., Akpolat, T., Erdem, Y., et al. (2016). Changes in hypertension prevalence, awareness, treatment, and control rates in Turkey from 2003 to 2012. Journal of hypertension, 34(6), 1208–1217. https://doi.org/10.1097/HJH.0000000000000901
  15. Vondracek, S., Scoular, S., & Patel, T. (2016). Management of severe asymptomatic hypertension in the hospitalized patient. Journal of the American Society of Hypertension: JASH, 10(12), 974–984. https://doi.org/10.1016/j.jash.2016.10.008
  16. Williams, B., Mancia, G., Spiering, W., et al. (2018). 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. Journal of hypertension, 36(10), 1953–2041. https://doi.org/10.1097/HJH.0000000000001940
  17. Wolf, S. J., Lo, B., Shih, R., et al. & American College of Emergency Physicians Clinical Policies Committee (2013). Clinical policy: critical issues in the evaluation and management of adult patients in the emergency department with asymptomatic elevated blood pressure. Annals of emergency medicine, 62(1), 59–68. https://doi.org/10.1016/j.annemergmed.2013.05.012
  18. Yurekli, A. A., Bilir, N., & Husain, M. J. (2019). Projecting burden of hypertension and its management in Turkey, 2015-2030. PloS one, 14(9), e0221556. https://doi.org/10.1371/journal.pone.0221556
  19. Boal, A. H., Smith, D. J., McCallum, L., et al. (2016). Monotherapy With Major Antihypertensive Drug Classes and Risk of Hospital Admissions for Mood Disorders. Hypertension (Dallas, Tex.: 1979), 68(5), 1132–1138. https://doi.org/10.1161/HYPERTENSIONAHA.116.08188
  20. Ku, E., Lee, B. J., Wei, J., et al. (2019). Hypertension in CKD: Core Curriculum 2019. American journal of kidney diseases: the official journal of the National Kidney Foundation, 74(1), 120–131. https://doi.org/10.1053/j.ajkd.2018.12.044
  21. Vondracek, S., Scoular, S., & Patel, T. (2016). Management of severe asymptomatic hypertension in the hospitalized patient. Journal of the American Society of Hypertension: JASH, 10(12), 974–984. https://doi.org/10.1016/j.jash.2016.10.008