Most<unk> is asymptomatic
End organ damage may result in chest pain, shortness of breath, altered mental status, focal neuro deficit, blurred vision or signs of acute kidney failure
Symptoms as headache, epistaxis and dizziness are not signs of end-organ dysfunction and they don't indicate the need for acute BP reduction
Hypertension 
Hypertensive emergency
Diabetes mellitus 
Stroke
Pregnancy 
Sympathetic crashing acute pulmonary edema
Asymptomatic hypertension
Ischemic stroke