Treatment of low-risk grade 1 hypertension: Out-of-office BP measurement with ambulatory blood pressure monitoring (ABPM) and/or home blood pressure monitoring (HBPM), if logistically and economically feasible.ĭrug treatment may be considered when cardiovascular (CV) risk is very high due to established cardiovascular disease (CVD), especially coronary artery disease (CAD).It is recommended to base the diagnosis of hypertension on: What is new in the 2018 ESC/ESH Arterial Hypertension Guidelines? The key novel aspects of the ESC/ESH Guidelines are the improvement of individual cardiovascular risk stratification and BP targets to be achieved, the timing for starting pharmacological treatment and the time to get to target, the prevalent role of initial combination therapy, and the promotion of adherence to treatments. The principal aim was to improve pragmatically the diagnostic accuracy of hypertension and the therapeutic efficacy of antihypertensive management, with the challenging aim of improving BP control and reducing the related cardiovascular burden. The purpose of the review and update of the guidelines was to evaluate and incorporate new evidence into the guideline recommendations. Therefore, the 2018 ESC/ESH Guidelines on hypertension were developed. For this reason, development of new guidelines appeared timely and appropriate. However, the lack of BP control in ≥40% of the population remains a major missed opportunity for European healthcare systems. Significant efforts have been made in recent decades to improve BP control worldwide. In Europe, >150 million people are affected by hypertension and its prevalence is predicted to rise by 15% to 20% by 2025.
Blood pressure (BP) control remains largely unsatisfactory. Hypertension continues to be the most common preventable cardiovascular risk factor for major cardiovascular events in Europe. Keywords: hypertension definition, treatment goals in different patient categoriesĪBPM: ambulatory blood pressure monitoringĪCEI: angiotensin-converting enzyme inhibitor
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