{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T08:04:17Z","timestamp":1779782657786,"version":"3.53.1"},"reference-count":20,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jamda.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the American Medical Directors Association"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.jamda.2025.105858","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T19:00:15Z","timestamp":1758135615000},"page":"105858","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Asymptomatic Acute Hypertension in Nursing Home Residents: Rarely an Emergency"],"prefix":"10.1016","volume":"26","author":[{"given":"Richard D.","family":"Shih","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luna","family":"Ragsdale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Orr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9770-9889","authenticated-orcid":false,"given":"Karl","family":"Steinberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jamda.2025.105858_bib2","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1111\/jch.13643","article-title":"Screening for hypertension using emergency department blood pressure measurements can identify patients with undiagnosed hypertension: a systematic review with meta-analysis","volume":"21","author":"Armitage","year":"2019","journal-title":"J Clin Hypertens"},{"key":"10.1016\/j.jamda.2025.105858_bib3","doi-asserted-by":"crossref","first-page":"2363","DOI":"10.1001\/jama.289.18.2363","article-title":"Hypertension prevalence and blood pressure levels in 6 european countries, Canada, and the United States","volume":"289","author":"Wolf-Maier","year":"2003","journal-title":"JAMA"},{"key":"10.1016\/j.jamda.2025.105858_bib4","doi-asserted-by":"crossref","first-page":"2199","DOI":"10.1016\/j.jacc.2017.11.005","volume":"71","author":"Whelton","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jamda.2025.105858_bib5","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1016\/j.jamda.2019.04.002","article-title":"Hypertension management in the very old","volume":"20","author":"Aronow","year":"2019","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.jamda.2025.105858_bib6","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s11906-019-1012-1","article-title":"Hypertension management in nursing homes: review of evidence and considerations for care","volume":"22","author":"Vu","year":"2020","journal-title":"Curr Hypertens Rep"},{"key":"10.1016\/j.jamda.2025.105858_bib7","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1046\/j.1525-1497.2002.20389.x","article-title":"Management of patients with hypertensive urgencies and emergencies: a systematic review of the literature","volume":"17","author":"Cherney","year":"2002","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.jamda.2025.105858_bib8","doi-asserted-by":"crossref","DOI":"10.4414\/smw.2012.13507","article-title":"Management and outcome of severely elevated blood pressure in primary care: a prospective observational study","volume":"142","author":"Merlo","year":"2012","journal-title":"Swiss Med Wkly"},{"key":"10.1016\/j.jamda.2025.105858_bib9","first-page":"2159","article-title":"2013 ESH\/ESC guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the European society of hypertension (ESH) and of the European society of Cardiology (ESC)","volume":"324","author":"Mancia","year":"2013","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jamda.2025.105858_bib10","doi-asserted-by":"crossref","first-page":"2434","DOI":"10.1161\/CIR.0b013e31821daaf6","article-title":"ACCF\/AHA 2011 expert consensus document on hypertension in the elderly: a report of the American College of Cardiology foundation task force on hypertension in the elderly. Expert Consensus documents","volume":"123","author":"Aronow","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.jamda.2025.105858_bib11","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1001\/jamainternmed.2014.8012","article-title":"Treatment with multiple blood pressure medications, achieved blood pressure, and mortality in older nursing home residents: the PARTAGE study","volume":"175","author":"Benetos","year":"2015","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.jamda.2025.105858_bib12","doi-asserted-by":"crossref","first-page":"2673","DOI":"10.1001\/jama.2016.7050","article-title":"Intensive vs standard blood pressure control and cardiovascular disease outcomes in adults aged \u226575 years. A randomized clinical trial","volume":"315","author":"Williamson","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.jamda.2025.105858_bib13","doi-asserted-by":"crossref","first-page":"185","DOI":"10.7326\/0003-4819-107-2-185","article-title":"Nifedipine-associated myocardial ischemia or infarction in the treatment of hypertensive urgencies","volume":"107","author":"O\u2019Mailia","year":"1987","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.jamda.2025.105858_bib14","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1001\/archinte.1987.00370030160031","article-title":"Symptomatic hypotension induced by nifedipine in the acute treatment of severe hypertension","volume":"147","author":"Wachter","year":"1987","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jamda.2025.105858_bib15","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1016\/S1474-4422(08)70143-1","article-title":"Incident dementia and blood pressure lowering in the Hypertension in the Very Elderly Trial cognitive function assessment (HYVET-COG): a double-blind, placebo controlled trial","volume":"7","year":"2008","journal-title":"Lancet Neurol"},{"key":"10.1016\/j.jamda.2025.105858_bib16","first-page":"213","article-title":"A randomized trial of intensive versus standard blood-pressure control","volume":"373","year":"2015","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jamda.2025.105858_bib17","first-page":"492","article-title":"Severe asymptomatic hypertension: evaluation and treatment","volume":"95","author":"Gauer","year":"2017","journal-title":"Am Fam Physiciain"},{"key":"10.1016\/j.jamda.2025.105858_bib18","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.tcm.2015.03.018","article-title":"How to discuss goals of care with patients","volume":"26","author":"Dunlay","year":"2016","journal-title":"Trends Cardiovasc Med"},{"key":"10.1016\/j.jamda.2025.105858_bib19","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0093542","article-title":"Hospital admissions for hypertensive crisis in the emergency departments: a large multicenter Italian study","volume":"9","author":"Pinna","year":"2014","journal-title":"PLoS One"},{"key":"10.1016\/j.jamda.2025.105858_bib20","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1001\/jama.1967.03130240070013","article-title":"Effects of treatment on morbidity in hypertension. Results in patients with diastolic blood pressures averaging 115 through 129 mm Hg. Veterans Administration Cooperative Study Group on Antihypertensive Agents","volume":"202","author":"Freis","year":"1967","journal-title":"JAMA"},{"key":"10.1016\/j.jamda.2025.105858_bib21","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.annemergmed.2013.05.012","article-title":"Clinical policy: critical issues in the evaluation and management of adult patients in the emergency department with asymptomatic elevated blood pressure","volume":"62","author":"Wolf","year":"2013","journal-title":"Ann Emerg Med"}],"container-title":["Journal of the American Medical Directors Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861025003755?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1525861025003755?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T07:31:58Z","timestamp":1779780718000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1525861025003755"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S1525861025003755"],"URL":"https:\/\/doi.org\/10.1016\/j.jamda.2025.105858","relation":{},"ISSN":["1525-8610"],"issn-type":[{"value":"1525-8610","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Asymptomatic Acute Hypertension in Nursing Home Residents: Rarely an Emergency","name":"articletitle","label":"Article Title"},{"value":"Journal of the American Medical Directors Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jamda.2025.105858","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Post-Acute and Long-Term Care Medical Association.","name":"copyright","label":"Copyright"}],"article-number":"105858"}}