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Intravenous hydralazine caused the most significant reduction in blood pressure and led to a shorter length of stay when compared to enalapril and labetalol. A total of 62% of patients received the medication for a systolic blood pressure lower than 180 mmHg. Treating hypertension in the in-patient setting remains complex. Rapid lowering of blood pressure can cause harm to patients, and this study showed that antihypertensive medication increased hospital length of stay. Once assuring no target organ damage, a strategic approach should be