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Arterial hypertension in the light of current recommendations
1Myasnikov Research Institute of Clinical Cardiology. FSBI "National medical research center of Cardiology" of the Ministry of Health of Russia, Moscow, Russia.
Insights
Arterial hypertension (AH) guidelines from American and European societies are compared. The article details similarities and differences in AH classification, blood pressure targets, and treatment strategies.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Arterial hypertension (AH) is a prevalent cardiovascular disease with evolving clinical guidelines.
- International recommendations, particularly from American and European societies, guide AH diagnosis and management.
- Russian AH guidelines are often based on European Society of Cardiology (ESC) recommendations.
Discussion:
- The article analyzes the convergence and divergence between major international hypertension guidelines.
- Key areas of comparison include hypertension classification, blood pressure targets, and therapeutic approaches.
- Differences in non-pharmacological and pharmacological treatment strategies are highlighted.
Key Insights:
- Harmonization exists in some aspects of AH management, reflecting a consensus on core principles.
- Discrepancies in classification and target blood pressure levels necessitate careful consideration for clinical practice.
- Variations in therapeutic recommendations underscore the need for nuanced application of guidelines.
Outlook:
- Future guideline revisions may further align international approaches to AH management.
- Continued comparative analysis is crucial for refining evidence-based hypertension care.
- Understanding guideline differences supports personalized patient treatment strategies.
Abstract:
Arterial hypertension (AH) refers to the most common cardiovascular diseases. The expert community regularly creates recommendations on the definition, diagnostics and treatment of hypertension. The most significant documents are recommendations American Medical Societies and the European Society for Hygiene in association with the European cardiological society. The latter document, as a rule, is fundamental for the creation of Russian recommendations on AH. Similarities are discussed in the article and differences in perceptions of the classification of hypertension, target levels of blood pressure, approaches to non-drug and drug therapy of the disease.
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