Hypertensive Emergencies (HE) are defined as a severe elevation in Blood Pressure (BP), i.e. higher than 180/120 mmHg, associated with the evidence of a new or worsening Hypertension Mediated Organ Damage (HMOD) [1]. Cardiac acute HMOD includes Acute Coronary Syndromes (ACS), Heart Failure (HF) with or without pulmonary edema and aortic dissection. These conditions require immediate and careful intervention to manage BP, usually with intravenous, short half-life and titratable drugs. The choice of the specific drug depends on the underlying causes of the emergency, patient’s demographics, cardiovascular risk, comorbidities and on the experience of the center [1,2].
