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24Cardiology13 min read

Hypertensive emergencies and urgencies

1. Big picture

A hypertensive crisis is a situation where blood pressure is very high, usually around ≥180 systolic and/or ≥120 diastolic, but the number alone is not the diagnosis. The examiner wants one key distinction:

SituationKey questionManagement
Hypertensive urgency / severe asymptomatic hypertensionIs there acute target-organ damage? NoOral therapy, gradual red

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