Core Concepts
Simplified guidelines aim for effective hypertension management.
Abstract
The European Society of Hypertension (ESH) released updated guidelines for hypertension management, emphasizing a simplified approach. The guidelines were presented at the 32nd Annual European Meeting on Hypertension and Cardiovascular Protection Meeting in Milan, Italy. Key highlights include clear guidance on blood pressure measurement, treatment thresholds, and drug recommendations. The guidelines also introduce the concept of "true resistant hypertension" and emphasize the importance of implementation for effective management.
Stats
The definition of hypertension remains unchanged: systolic blood pressure values of ≥140 mm Hg and/or diastolic blood pressure values of ≥90 mm Hg.
Treatment initiation recommended when systolic blood pressure is ≥140 mm Hg or diastolic blood pressure is ≥90 mm Hg.
Blood pressure target is <140/80 mm Hg for most patients.
Dual therapy can control 60% of patients, while triple therapy can control up to 90%.
Only about 5% of patients have true resistant hypertension.
Quotes
"We have tried to provide a simplified message to key topics with these new guidelines." - Prof Reinhold Kreutz
"We should aim for the systolic blood pressure to be within the range of below 140 mm Hg down to 120 mm Hg." - Prof Reinhold Kreutz
"We can control 60% of patients in the general hypertensive population with dual therapy, and up to 90% with triple therapy." - Prof Reinhold Kreutz