Management of severe asymptomatic hypertension in the hospitalized patient

Hypertension is common in the hospital setting. While the epidemiology, management, and outcomes of chronic hypertension are well defined, data and clinical guidance on the management of severe blood pressure elevations in the hospitalized patient are lacking. This article aims to review the literature related to the risks and benefits of managing severe asymptomatic hypertension in the hospitalized patient, summarize the concerns regarding managing severe asymptomatic hypertension with as-needed antihypertensive medication, and suggest alternative management strategies.