New Challenges for Hypertension Treatment.

Area of Science:

• Cardiology
• Public Health

Background:

• Hypertension affects millions in Mexico and the US.
• The 2017 ACC/AHA guidelines redefined hypertension diagnosis to ≥130/80 mmHg.
• This reclassification significantly increases the number of individuals potentially classified as hypertensive.

Purpose of the Study:

• To review current blood pressure targets for hypertension.
• To discuss medical therapies for hypertension in the modern era.
• To emphasize individualized treatment strategies based on patient risk profiles and comorbidities.

Main Methods:

• Literature review of current hypertension guidelines and therapeutic approaches.
• Analysis of the impact of the 2017 ACC/AHA hypertension classification.
• Consideration of patient-specific factors in treatment selection.

Main Results:

• The new hypertension classification may lead to overdiagnosis and overtreatment.
• Real-world evidence suggests caution in initiating drug therapy.
• Individualized treatment is essential, considering patient comorbidities and risk.

Conclusions:

• Careful patient selection is vital when considering drug therapy for hypertension.
• Treatment strategies should be tailored to individual patient characteristics.
• Managing hypertension effectively is crucial for reducing cardiovascular morbidity and mortality.