Key result
This narrative review outlines current guidelines and provides management strategies for hypertensive emergencies and urgencies, highlighting the need for intravenous antihypertensives in emergencies.
Why the study?
Guideline recommendations differ regarding the speed and extent of acute blood pressure lowering due to an absence of randomised trials, and unevidenced acute BP lowering is often used in hypertensive urgency.
The review highlights that hypertensive emergencies require careful intravenous blood pressure lowering in intensive care settings, while acute blood pressure lowering in hypertensive urgency lacks evidence.
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Guideline recommendations on acute BP lowering in hypertensive emergencies vary slightly; absence of RCTs leaves standardization open to expert consensus.
Jolly et al. (2021) conducted a review in Hypertensive emergencies and urgencies. Management strategies was evaluated. This narrative review outlines current guidelines and provides management strategies for hypertensive emergencies and urgencies, highlighting the need for intravenous antihypertensives in emergencies.
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