How should asymptomatic hypertension be managed in the hospital?

Key Points

• Evidence for treatment of inpatient asymptomatic hypertension is lacking.
• The use of intravenous antihypertensives in the setting of inpatient asymptomatic hypertension is inappropriate and may be harmful.
• A conservative approach for inpatient asymptomatic hypertension should be employed by addressing contributing factors and reviewing held home antihypertensive medications prior to administering any oral antihypertensive pharmacotherapy.