Hypertensive urgency requires reduction of blood pressure within a few hours and without acute target organ damage.

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Hypertensive urgency is defined by very high blood pressure without evidence of acute target organ damage. Because there is no organ injury requiring immediate rescue, the plan focuses on lowering the blood pressure promptly but safely over hours rather than minutes. Oral antihypertensive medications are used, and the goal is to reduce the pressure to a safer range within hours to a day or two, with close follow-up. If organ damage were present—acute chest pain, stroke symptoms, rapidly rising creatinine, or other signs—management becomes hypertensive emergency and requires urgent IV therapy in a monitored setting. So the statement captures the idea that urgent treatment is needed within a short timeframe and that there’s no acute organ damage, which is why it’s considered true.