[Who should be treated? How should they be treated? What has changed in arterial hypertension therapy?]

The author briefly revises the paradoxical changes that occurred in hypertension treatment, according the answers to the two following questions: Who to treat? How to treat? Emphasizes the main importance of non-drug treatment for the preservation of the hypertensive's quality of life and hyperadrenergic responses control. Concludes that the hypertension treatment is so individualized as conditionated by a lot of factors (drug efficacity in lowering blood pressure levels, concomitant risk factors and cardiovascular diseases, own patient's adherence or preference, etc.).