Hypertensive emergencies require rapid, tailored treatment based on organ involvement while carefully avoiding therapeutically induced hypotension.
Individualized BP reduction based on organ damage is essential in crises; level 5 evidence leaves optimal targets and timelines open.
Hypertensive urgency and hypertensive emergency are associated with sudden, massive rise in blood pressure. An acute increase in blood pressure to values above 180/120 mmHg is considered critical. If not treated in time, it can quickly enter a life-threatening hypertensive emergency. The symptoms or organ damage determine the assessment as a crisis or an emergency. Rapid action is required. The therapy depends on the severity and the organ involvement. However the general principal is to avoid therapeutically induced hypotension.
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Gerd Bönner (2017) studied this question.
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