Table 20.

Recommendations for the management of hypertensive emergencies. MAP: mean arterial pressure; SBP: systolic blood pressure.

Class	Recommendation
	in the event of a compelling hypertensive emergency, it is recommended to admit the patient to the intensive care unit and immediately reduce blood pressure with intravenous drug therapy (except for malignant hypertension with or without acute renal failure).
	It is recommended to immediately reduce SBP to < 140mmHg with intravenous drug therapy in the event of: - Acute coronary event - Acute cardiogenic pulmonary oedema
	It is recommended to immediately reduce SBP to < 120mmHg with intravenous drug therapy in addition to reducing heart rate to <60 beats/min in the event of acute aortic dissection.
	It is recommended to immediately reduce MAP by 20–25% with intravenous drug therapy in the case of hypertensive encephalopathy.
	It is recommended to reduce MAP by 20–25% over several hours in the case of malignant hypertension with or without acute renal failure.