Management of Arterial Hypertension: 2018 ACC/AHA Versus ESC Guidelines and Perioperative Implications

Area of Science:

• Cardiology
• Clinical Practice Guidelines
• Public Health

Background:

• Hypertension is a leading global cardiovascular risk factor, contributing significantly to mortality and morbidity.
• Current evaluation and management of hypertension lack uniformity, despite numerous international society guidelines.
• Discrepancies in expert-based recommendations within guidelines can create confusion for healthcare providers.

Purpose of the Study:

• To compare recent updated guidelines for arterial hypertension management.
• To highlight key differences between the American College of Cardiology/American Heart Association (ACC/AHA) and European Society of Cardiology/European Society of Hypertension (ESC/ESH) guidelines.
• To provide clarity for practicing clinicians regarding hypertension management strategies.

Main Methods:

• Comparative analysis of recent ACC/AHA and ESC/ESH hypertension management guidelines.
• Identification and summarization of significant differences in recommendations.
• Focus on aspects relevant to clinical practice.

Main Results:

• The manuscript identifies and discusses critical differences in the latest ACC/AHA and ESC/ESH hypertension guidelines.
• These differences pertain to various aspects of hypertension evaluation and management.
• Understanding these distinctions is crucial for consistent clinical application.

Conclusions:

• Harmonizing hypertension management requires addressing guideline discrepancies.
• Clinicians must be aware of the differences between major international guidelines for optimal patient care.
• Further efforts are needed to promote a more standardized global approach to hypertension management.