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55% vs 31.22%, =0.742). The risk of revisits with elevated blood pressure was similar in both groups at 1 day (OR=0.58, 95% CI=0.26-1.27) and 7 days (OR=1.11, 95% CI=0.77-1.61). We found no case of major adverse cardiovascular events (MACE) in 1 day and a similar risk of MACE in 7 days (OR=0.23, 95% CI=0.01-4.18). Blood pressure control within 2 weeks was also not different (OR=0.76, 95% CI=0.45-1.3. We have found no obvious evidence of benefit from oral antihypertensive agents in managing hypertensive urgencies in the ED. Oral hypertensive agents had no