Table above is from Focused Update on Pharmacologic Management of Hypertensive Emergencies 2018

You will see recommendations for reducing by 10-15% within the first hour. Important fact is not to decrease by MORE than 25% within the first hour.

Clinical features in the management of selected hypertensive emergencies 2006

2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines | Hypertension

• Section 6.2 Hypertensive Emergencies and Severe Hypertension in Nonpregnant and Nonstroke Patients

Treatment and Outcomes of Inpatient Hypertension Among Adults With Noncardiac Admissions | Less is More | JAMA Internal Medicine | JAMA Network

• In a propensity-matched sample controlling for patient and BP characteristics, treated patients had higher rates of subsequent acute kidney injury (466 of 4520 [10.3%] vs 357 of 4520 [7.9%]; P < .001) and myocardial injury (53 of 4520 [1.2%] vs 26 of 4520 [0.6%]; P = .003)

• There was no BP interval in which treated patients had better outcomes than untreated patients.