Choosing between malignant hypertension vs hypertendive emergency is crucial to your health. When a blood pressure reading is over 180/120 mm Hg, you need to seek emergency care. However, you should continue to see your doctor to minimize the risk of long-term complications. It is important to remember that rapid blood pressure reduction can cause damage to vital organs. To avoid this problem, healthcare providers typically reduce blood pressure slowly, gradually lowering it to around 160/110 mm Hg.
Although a malignant hypertension episode is uncommon, it may be life-threatening. Unlike a hypertensive emergency, most patients do not exhibit acute end-organ damage, although some patients exhibit signs of ongoing injury. The risk of long-term complications, such as strokes and vision loss, is also higher in malignant hypertension patients. While most patients do not show signs of organ damage, if untreated, it can lead to serious health complications, including strokes and cardiovascular events.
A clinician’s decision between an acute hypertensive emergency and a malignant hypertension episode should be based on the onset or progression of end-organ damage. The treatment plan for the former can vary significantly, depending on the patient’s underlying comorbidities, age, and gender. The latter should be administered in a level two or three emergency room environment. A high-level blood pressure monitor and short-acting intravenous drugs should be used when in doubt.