Signs and symptoms of a hypertensive emergency would MOST likely be delayed in patients who:

In the context of a hypertensive emergency, chronic hypertension can lead to what is known as "masked hypertension." In individuals who have a long-standing history of high blood pressure, their bodies may become accustomed to elevated levels, which can obscure the acute signs and symptoms of a hypertensive emergency. As a result, these patients may not exhibit the obvious or sudden changes in their clinical presentation, thereby delaying recognition and treatment. This adaptation can make it more challenging to identify when their hypertension has escalated to a dangerous level.

Patients with a history of chronic hypertension often develop a tolerance to higher blood pressure readings, which means that even during a hypertensive crisis, they might not display the typical symptoms that one would expect, such as headaches, dizziness, or changes in vision. This lack of immediate or overt symptoms can delay the necessary medical intervention and potentially lead to serious complications if not addressed promptly.