Abstract
At present, a large proportion of patients with “hypertensive emergence” develop acute target organ damage and at other times chronic complications, which are underestimated and poorly controlled, leading to treatment failure and significantly increasing hospital admissions. Hypertensive emergency is defined as any acute elevation of blood pressure, which is accompanied by severe organic alterations with risk of irreversible injury, which compromise the patient's life. It is very important for the doctor in the emergency department to identify hypertensive emergencies, to control them by means of effective and quick- acting drugs to reduce blood pressure by at least 25% and thus avoid sudden and / or excessive reductions of it. The parenteral route is the usual form of drug delivery. The objective of this literature review is to summarize summarizesummarize the management of the most common cardiovascular presentations found in patients with hypertensive crisis, acute myocardial infarction, congestive heart failure, aortic dissection and sympathomimetic hypertensive crisis.