Gaps between guidelines and practice in hypertensive urgencies and emergencies: data from a multinational European registry in ESH excellence centres

This registry highlights critical issues in the ED management of HC and hypertension, including: underdiagnosis of chronic hypertension, insufficient admission of HE patients to intensive or coronary care units, overly aggressive treatment of HU, and underuse of fundoscopy and albuminuria screening. Addressing these deficiencies through guideline implementation, structured care pathways, and improved follow-up could enhance outcomes for this high-risk population.

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Publication Details

Journal
Journal of Hypertension
Published
2026-02-04
DOI
https://doi.org/10.1097/hjh.0000000000004231
Primary Topic
Acute Myocardial Infarction Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Gaps between guidelines and practice in hypertensive urgencies and emergencies: data from a multinational European registry in ESH excellence centres

Ilaria FUCILE, Rigas Kalaitzidis, John A. Papadakis, Andréa Penaloza et al.
Journal of Hypertension
Acute Myocardial Infarction Research
article

Gaps between guidelines and practice in hypertensive urgencies and emergencies: data from a multinational European registry in ESH excellence centres

Ilaria FUCILE, Rigas Kalaitzidis, John A. Papadakis, Andréa Penaloza, C. Fragoulis, Michail Doumas, Romain Boulestreau, Reinhold Hugo Kreutz, Vitor M. Paixão-Dias, M.L. Muiesan, Costas Thomopoulos, Alessandro Maloberti, A. Persu, Alberto Mazza, Konstantinos Tsioufis, Giuseppe Mancia, Thomas Weber, Cristina Giannattasio, Tine De Backer, Pietro Minuz
article en

Abstract

This registry highlights critical issues in the ED management of HC and hypertension, including: underdiagnosis of chronic hypertension, insufficient admission of HE patients to intensive or coronary care units, overly aggressive treatment of HU, and underuse of fundoscopy and albuminuria screening. Addressing these deficiencies through guideline implementation, structured care pathways, and improved follow-up could enhance outcomes for this high-risk population.

Journal of HypertensionVol. 44(4)
University of Verona (IT), Cliniques Universitaires Saint-Luc (BE), Université de Bordeaux (FR), Inserm (FR), National and Kapodistrian University of Athens (GR), Aristotle University of Thessaloniki (GR), Ghent University Hospital (BE), European Society of Hypertension (IT), Humboldt-Universität zu Berlin (DE), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), AULSS 2 Marca Trevigiana (IT), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), Bordeaux Population Health (FR), Laiko General Hospital of Athens (GR), Federico II University Hospital (IT), Klinikum Wels-Grieskirchen (AT), University Hospital of Heraklion (GR), General Hospital of Nikea (GR), Eginition Hospital (GR), Centro Hospitalar de Vila Nova de Gaia (PT), Hippocration General Hospital (GR), University of Milano-Bicocca (IT), Freie Universität Berlin (DE), Charité - Universitätsmedizin Berlin (DE), University of Brescia (IT), UCLouvain (BE)
Openalex Percentile: Top 66%
Acute Myocardial Infarction Research
DOISourceOpenAlex
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