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Talk:Hypertensive crisis

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Latest comment: 10 months ago by AlaskaGal in topic Contradictory

Contradictory

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I added this flag because of the following: 'In these situations of hypertensive emergency, rapid reduction of the blood pressure is mandated to stop ongoing organ damage. In contrast there is no evidence that blood pressure needs to be lowered rapidly in hypertensive urgencies, where there is no evidence of target organ damage; over-aggressive reduction of blood pressure is not without risks. Use of oral medications to lower the BP gradually over 24 to 48h is advocated in hypertensive urgencies.'

Both points are sourced and appear to be valid but I don't have the scientific literacy to unpick this. As both of the citations are of texts from the 2000s, it would be great if someone could find more recent research clarifying or at least contextualising this issue. 2A02:8084:4F43:8E00:812C:29E1:919B:6D52 (talk) 15:51, 2 September 2025 (UTC)Reply

in general it indicates that if organ damage is present (hypertensive emergency), you tend to lower aggressively to prevent further organ damage. however, in urgency; where no organ damage exists, it is a bad idea to lower it aggressively due to side effects; some of which may be more dangerous than needed. however in an emergency, the pros outweigh the cons, even if considerable. AlaskaGal~ ^_^ 16:52, 3 October 2025 (UTC)Reply