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Treatment of hypertension: The ESH/ESC guidelines recommendations
Cesare Cuspidi1, Marijana Tadic2, Guido Grassi3
1Department of Medicine and Surgery, University of Milano-Bicocca, Milano, Italy; Istituto Auxologico Italiano, Milano, Italy.
Insights
Achieving tight blood pressure (BP) control through lifestyle changes and medication is crucial for cardiovascular prevention in hypertensive patients. This review covers ESH/ESC guidelines on BP targets, lifestyle modifications, and pharmacological treatments for hypertension.
Area of Science:
- Cardiology
- Hypertension Management
Background:
- Effective cardiovascular prevention in hypertensive individuals requires strict blood pressure (BP) control.
- Elevated BP contributes significantly to cardiovascular mortality and morbidity.
Purpose of the Study:
- To review the latest ESH/ESC guidelines on hypertension management.
- To detail BP targets, lifestyle interventions, and pharmacological therapies for hypertension.
Main Methods:
- Review of current ESH/ESC guidelines.
- Focus on non-pharmacological and pharmacological treatment strategies.
- Discussion of BP targets in general and specific populations.
Main Results:
- Guidelines emphasize achieving tight BP control.
- Lifestyle changes like diet and exercise demonstrate anti-hypertensive efficacy.
- Pharmacological therapy principles are outlined for various patient groups.
Conclusions:
- Tight BP control is essential for cardiovascular risk reduction in hypertension.
- A combination of lifestyle modifications and pharmacotherapy is recommended.
- The review provides a comprehensive overview of current hypertension management strategies.
Abstract:
Effective cardiovascular prevention in the hypertensive setting needs the achievement of a tight blood pressure (BP) control with appropriate lifestyle measures and anti-hypertensive therapy. In fact, the ultimate goal of treatment strategies is the reduction of the excess of cardiovascular mortality and morbidity related to chronically elevated BP. In this chapter we will review the recommendations provided by the latest ESH/ESC guidelines focusing on the non-pharmacological and pharmacological treatment of hypertension. The first part will be focalized on the BP targets to be achieved by the treatment in the general hypertensive population and in specific clinical settings. In the second part, we will also depict the life-style changes with proven anti-hypertensive efficacy. In the third part we will describe the general principles of pharmacological therapy recommended in the general population and in special conditions. Finally we will make a brief comment on the new hypertension guidelines that will be published in 2017.
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