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Abstract Hypertension is one of the common diseases that are prevalent in a huge portion of global aging societies. It affects 1 billion people around the globe and is responsible for 7.1 million deaths per year. The presence of uncontrolled hypertension and related complications are risk factors for increased morbidity and mortality in patients who require anaesthesia for emergency surgery and represent a challenge to operate and manage or to defer surgery is still a debate. Several studies determined that cardiac complications are 2 to 5 times more likely to occur with emergency surgical procedures than with elective operations because the necessity for immediate surgical intervention may make it impossible to evaluate and treat such patients optimally. Anaesthetic management for hypertensive patient in emergency surgery should include adequate preoperative assessment to identify high risk patients with end organ damage through evaluation of their medical history and examination that determine the need for further tests, appropriate monitoring to detect adverse occurrences should start in the anaesthetic room and continue until recovery |