Publication Name	World Journal of Cardiology
Manuscript ID	118216
Country	China

Category	Cardiac & Cardiovascular Systems
Manuscript Type	Letter to the Editor
Article Title	Management priorities in coronary artery disease-associated hypertensive emergencies: Magnitude vs speed
Manuscript Source	Invited Manuscript
All Author List	Zi-Heng Zhang, Cun-Tao Yu, Yang-Chao Zhao and Yang Yang
Funding Agency and Grant Number
Corresponding Author	Yang Yang, Associate Professor, PhD, Clinical Systems Biology Laboratories, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Erqi District, Zhengzhou 450052, Henan Province, China. yangyangbio@163.com
Key Words	Hypertensive emergency; Coronary artery disease; Intravenous antihypertensive therapy; Myocardial injury biomarkers; Blood pressure reduction strategy
Core Tip	Coronary artery disease-associated hypertensive emergencies represent a distinct clinical context in which therapeutic success should not be judged solely by the speed of blood pressure reduction. Evidence from recent cohort data suggests that the magnitude and biological quality of blood pressure unloading, reflected by myocardial biomarker responses and healthcare utilization, may be more relevant than marginal differences in time to target pressure. Reframing management priorities toward cardioprotection and individualized hemodynamic goals may improve care for ischemia-prone patients.
Citation	Zhang ZH, Yu CT, Zhao YC, Yang Y. Management priorities in coronary artery disease-associated hypertensive emergencies: Magnitude vs speed. World J Cardiol 2026; In press

Received	2025-12-28 08:47
Peer-Review Started	2025-12-28 08:47
First Decision by Editorial Office Director	2026-02-03 09:43
Return for Revision	2026-02-03 09:43
Revised	2026-02-04 11:49
Publication Fee Transferred
Second Decision by Editor	2026-02-27 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-27 10:05
Articles in Press	2026-02-27 10:05
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8462 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright	© Author(s) (or their employer(s)) 2026. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com