Key result
European registry reveals underdiagnosis, low ICU use, aggressive treatment, and underused fundoscopy in hypertensive emergencies.
Significant gaps exist between guidelines and clinical practice in the management of hypertensive urgencies and emergencies in European emergency departments.
European EDs show underuse of recommended care in hypertensive crises; challenges consensus on adherence and leaves open outcome effects.
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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Fragoulis et al. (2026) studied this question. European registry reveals underdiagnosis, insufficient ICU admissions, aggressive treatment, and underuse of fundoscopy in hypertensive urgencies/emergencies.
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