Which patient is at the highest risk for malignant hypertension?

Question

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Young African-American adults have the highest risk for malignant hypertension, which is defined as severe and rapidly progressive hypertension with diastolic blood pressure typically > 120 mmHg and signs of acute damage to one or more organ systems. Malignant hypertension can lead to organ damage or failure, such as hypertensive encephalopathy, congestive heart failure, acute kidney injury, retinal hemorrhage, or arterial dissection, and requires prompt medical intervention to lower blood pressure and prevent complications. Other risk factors for malignant hypertension include underlying renal or vascular disease, medications that increase blood pressure, pregnancy, and cocaine or amphetamine use. White postmenopausal women, obese Asians, and older Latino men may have a higher overall risk for hypertension, but not necessarily for malignant hypertension specifically.

Which Patient Is at the Highest Risk for Malignant Hypertension