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    Hypertensive emergencies are diagnosed if there is a systolic blood pressure higher than 180 mmHg or a diastolic blood pressure higher than 120 mmHg with the presence of acute target organ damage (1-6).

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  • Hypertensive urgencies are diagnosed if there is a systolic blood pressure higher than 180 mmHg or a diastolic blood pressure higher than 120 mmHg in an otherwise stable person without clinical or laboratory evidence of acute target organ damage (1-6).

    These persons need intensification of their antihypertensive drug therapy.

    Patients with hypertensive emergencies include those who have a dissecting aortic aneurysm, acute pulmonary edema, acute myocardial infarction, unstable angina pectoris, acute renal failure, acute intracranial hemorrhage, acute ischemic stroke, hypertensive encephalopathy, eclampsia or pre-eclampsia, peri-operative hypertension, a pheochromocytoma crisis, and a sympathomimetic hypertensive crisis caused by use of cocaine, amphetamines, phencyclidine, or monoamine oxidase inhibitors or by abrupt cessation of clonidine or other sympatholytic drugs (1-6).

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