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[Arterial hypertension-Current recommendations for action]

Milen Babic1, Oliver Vonend2, Markus van der Giet3

  • 1Klinik für Nephrologie und internistische Intensivmedizin, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland. milen.babic@charite.de.

Innere Medizin (Heidelberg, Germany)
|October 30, 2024
PubMed

Insights

Arterial hypertension (aHT) affects many, with suboptimal treatment risking severe events. This article summarizes new German and European guidelines for better hypertension management and prevention of organ damage.

Area of Science:

  • Cardiology
  • Nephrology
  • Public Health

Context:

  • Arterial hypertension (aHT) prevalence is high and increasing in Germany, affecting nearly one in three individuals.
  • Only 50% of treated patients achieve controlled blood pressure, increasing risks of cardiovascular and renal events.
  • Suboptimal hypertension management can lead to fatal outcomes.

Purpose:

  • To provide a practical summary of the current diagnostics and treatment recommendations from both the German national treatment guidelines (NVL) and the European Society of Hypertension (ESH) 2023.
  • To discuss relevant differences between the two guideline updates.
  • To offer routinely applicable advice for healthcare professionals.

Summary:

  • Both new guidelines emphasize avoiding hypertension-mediated organ damage (HMOD) and identifying high blood pressure.
  • Preventive measures, lifestyle recommendations, and simplified target blood pressure values are highlighted for routine practice.
  • The article offers a comparative overview of diagnostic and therapeutic strategies.

Impact:

  • Aims to improve the routine management of arterial hypertension by integrating new guideline recommendations.
  • Facilitates better identification and prevention of hypertension-related complications, including organ damage.
  • Supports healthcare providers in making informed decisions for patient care and treatment optimization.

Keywords:
GuidelinesHypertension-mediated organ damageLifestyle risk reductionPatient adherenceTreatment resistance

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