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A "20/20" Match: ACC/AHA 2017 versus ESC/ESH 2018 Guidelines for Management of Hypertension

Akshyaya Pradhan1, Shweta Vohra1, Rishi Sethi1

  • 1Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|December 2, 2021
PubMed

Insights

This study compares the 2017 American College of Cardiology/American Heart Association (ACC/AHA) and 2018 European Society of Cardiology/European Society of Hypertension (ESC/ESH) guidelines for managing hypertension, highlighting key similarities and differences in this global noncommunicable disease.

Area of Science:

  • Cardiology
  • Nephrology
  • Public Health

Background:

  • Hypertension is a prevalent global noncommunicable disease and a major risk factor for cardiovascular and renal failure.
  • Despite theoretical ease of diagnosis and management, practical implementation remains inadequate worldwide.
  • Numerous international guidelines exist for hypertension management, with subtle variations.

Purpose of the Study:

  • To compare the 2017 ACC/AHA Hypertension Guidelines with the 2018 ESC/ESH Hypertension Guidelines.
  • To identify and present the similarities and differences between these two prominent hypertension management guidelines.

Main Methods:

  • Comparative analysis of the 2017 ACC/AHA and 2018 ESC/ESH hypertension guidelines.
  • Review of key recommendations, diagnostic criteria, and management strategies within each guideline.

Main Results:

  • Both guidelines share fundamental principles for hypertension management.
  • Specific differences exist in diagnostic thresholds, treatment targets, and pharmacological approaches.
  • The article details these convergences and divergences for clinical application.

Conclusions:

  • Understanding the nuances between ACC/AHA and ESC/ESH guidelines is crucial for effective hypertension care.
  • Comparative analysis aids clinicians in applying evidence-based strategies tailored to patient needs.
  • Harmonizing guideline recommendations can improve global hypertension control outcomes.

Keywords:
blood pressure targetscardiovascular diseasecombination therapypreventionrisk score

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