1.1Background rn rn Hypertension is an Increasing public health problem in many developing countries IncludinEthiopia. The Joint National Committee on Prevention, Detection, Evaluation, and Treatment oHigh Blood Pressure Reported that chronic hypertension is affecting over one billion Individualworld wide rn If hypertension is not controlled, it may lead to hypertensive crises, consisting of hypertensiveUrgencies with no End organ damage or hypertensive Emergencies with End organ damage.rn rnThe incidence of conditions such as strokes,Myocardial infarction left ventricularrnfailure,Aorticdissection,pulmonary Edema or chronic kidney disease is correlated with the leveof high BP. rnThe aim of this study is to Asses the clinical profile of patients with hypertensive crises in TASHadult ED.(1) rnEvidences and observational studies in Ethiopia estimated,the prevalence of hypertension is 2030%. In Addis ababa 2 population based studies conducted and showed prevalence of 30.3 &rn25% respectively. Population based studies in northern part of Ethiopia also revealed a rnprevalence of 28.3 &27.9%,while the prevalence is 7.7% in one inistitutional based study inrnGonder. rn 2 Methodology rn rn Retrospective Cross Sectional study was conducted from Jan 2019 to December 2019. Thernstudy period was Jan 2020- December 2020. subjects included are Adults 13 years and abovernpresenting to Emergency department with hypertensive crises,Collectedusing structuredrnquestionnaires,to document Demographic information, clinical presentation and managementrnoutcome. Data was Cleaned, Edited, and analyzed using SPSS statistical software. rn rnrn3 RESULT OF THE STUDY rn rn Among a total of 626 patients who was screened for Hypertensive crises From Data registry,rnIn the Emergency unit of Addis Ababa University TikurAnbessa Specialized Hospital In the Studyrnperiod January2019 to December 2019 , 212 patients met the criteria for hypertensive crises.rnOf these, 109 (51.41%) had Hypertensive urgency and 103(48.58%) had HypertensivernEmergency. Out of 103 hypertensive Emergency patients, 37.86% were discharged from ED,rn29.1% ward Admission, 18.4% ICU admissions,11.65% were ED Death, 2.9% were transferredrnout. And when compared to hypertensive urgency patients with hypertensive emergency arernassociated with poor out come. Hypertensive Emergency had Significant association withrnpredominant patients complain like Decreased urine out put, chest pain, and Higher Diastolic Bp rnand patients clinical presentation like Extremity weakness ,Change in mentation (p -