Hypertensive Urgencies

Most patients presenting to the ED with significantly elevated BP will not demonstrate acute progressive target organ damage and will not, therefore, fulfil criteria for the diagnosis of a hypertensive emergency.

Should BP be aggressively lowered for these patients?

There is no indication for urgent pharmacological intervention. It may cause harm by precipitating acute organ hypoperfusion (i.e. cause end organ dysfunction where it was not previously present).