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A Scoping Review of Asymptomatic Hypertension: Definitions, Diagnosis, and Management in the Emergency Department

Aleksandra Degtyar1, Marceé E Wilder2,3,4, Lynne D Richardson2,3,4,5

  • 1Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, USA. Aleksandra.degtyar@mountsinai.org.

Current Hypertension Reports
|June 17, 2025
PubMed

Insights

Unified guidelines are needed for asymptomatic hypertension definition and management. Current approaches lack consensus on diagnostic testing and emergency department treatment, impacting patient care.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Internal Medicine

Background:

  • Scoping review assessing literature on asymptomatic hypertension.
  • Identifies lack of consensus on definition and management strategies.

Purpose of the Study:

  • To reveal consensus or absence thereof regarding asymptomatic hypertension.
  • To highlight the need for unified guidelines in patient care.

Main Methods:

  • Utilized Joanna Briggs Institute guidelines for the review.
  • Searched CINAHL, Scopus, Ovid EMBASE, and PubMed (MEDLINE) databases.
  • Included 35 texts after quality assessment.

Main Results:

  • Definition of asymptomatic hypertension varied widely, with inconsistent blood pressure cutoffs and poorly defined end-organ damage.
  • Most studies recommended history, physical examination, and gradual blood pressure reduction with outpatient referral.
  • Only one study suggested additional testing for asymptomatic patients.

Conclusions:

  • Unified guidelines are essential for consistent definition and management of asymptomatic hypertension.
  • Lack of consensus exists on diagnostic testing and emergency department treatment initiation.
  • Future research should focus on establishing consensus and adaptable management strategies.
Abstract

Keywords:
Asymptomatic hypertensionEmergency departmentScoping review

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