Once a patient with a hypertensive emergency is stabilized, what is the treatment over the next 48 hours?

Updated: Feb 22, 2019
  • Author: Matthew R Alexander, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Once the patient’s condition is stabilized, the patient’s BP may be gradually reduced over the next 24-48 hours.

Exceptions to the above recommendation include the following [5] :

  • Patients with an ischemic stroke (currently, no clear evidence exists for immediate antihypertensive treatment)

  • Patients with aortic dissection (their systolic BP should be lowered to < 100 mm Hg, if tolerated)

  • Patients in whom BP is lowered to allow thrombolytic therapy (eg, stroke patients)

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