This ESC position document emphasizes that the management of hypertensive emergencies must be individualized based on the specific type of acute organ damage present.
Tailors drug selection, BP targets, and timelines to organ damage type in hypertensive emergencies; reinforces ESC consensus on individualized rather than uniform protocols.
Hypertensive emergencies are those situations where very high blood pressure (BP) values are associated with acute organ damage, and therefore, require immediate, but careful, BP reduction. The type of acute organ damage is the principal determinant of: (i) the drug of choice, (ii) the target BP, and (iii) the timeframe in which BP should be lowered. Key target organs are the heart, retina, brain, kidneys, and large arteries. Patients who lack acute hypertension-mediated end organ damage do not have a hypertensive emergency and can usually be treated with oral BP-lowering agents and usually discharged after a brief period of observation.
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Born et al. (2018) studied this question.
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