Through this EMCREG-International Newsletter, Drs. Anna Marie Chang and Judd Hollander discuss the pathophysiology of hypertension, as well as describe historical and physical examination findings crucial for the evaluation of end organ damage. Descriptions of hypertension associated with the following disease processes: Asymptomatic Hypertension, Acute Coronary Syndrome, Acute Heart Failure Syndromes, Neurological Emergencies, Cocaine or Amphetamine Induced Hypertension, and Aortic Dissection are provided with treatment recommendations. Through collaboration with colleagues from a variety of specialties, patients with hypertension can receive optimal therapy when presenting to any acute care setting. It is our hope you will find this EMCREG-International Newsletter, and the full manuscript of the Hypertension Consensus Panel which forms the basis for this Newsletter, helpful in the care of your patients with hypertension.