Approach to Malignant Hypertension

In a patient with malignant hypertension, normal cardiac workup is essential before approaching the case. The first priority is to lower the blood pressure to prevent organ damage, ideally not reducing by more than 25% and maintaining it above 160 in the initial hours of treatment. Auto-regulation in such patients is impaired, causing a linear drop in flow with decreasing blood pressure, emphasizing the need for caution in lowering blood pressure rapidly.

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