Management of hypertensive crisis: British and Irish Hypertension Society Position document

J Hum Hypertens. 2023 Oct;37(10):863-879. doi: 10.1038/s41371-022-00776-9. Epub 2022 Nov 22.


Patients with hypertensive emergencies, malignant hypertension and acute severe hypertension are managed heterogeneously in clinical practice. Initiating anti-hypertensive therapy and setting BP goal in acute settings requires important considerations which differ slightly across various diagnoses and clinical contexts. This position paper by British and Irish Hypertension Society, aims to provide clinicians a framework for diagnosing, evaluating, and managing patients with hypertensive crisis, based on the critical appraisal of available evidence and expert opinion.

Publication types

  • Review

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Emergencies
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Hypertension* / epidemiology
  • Hypertension, Malignant* / diagnosis
  • Hypertension, Malignant* / drug therapy
  • Hypertension, Malignant* / epidemiology
  • Hypertensive Encephalopathy*


  • Antihypertensive Agents