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[Elevated blood pressure and hypertension : Focus of the 2024 ESC guidelines on risk reduction]

Raphael S Schmieder1, Heribert Schunkert2,3

  • 1Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München (DHM), Universitätsklinikum der Technischen Universität München, Lazarettstr. 36, 80636, München, Deutschland. schmieder@dhm.mhn.de.

Herz
|November 26, 2024
PubMed

Insights

The 2024 European Society of Cardiology guidelines introduce "elevated blood pressure" (120-139/70-89 mmHg), recommending early lifestyle changes. Hypertension management now begins concurrently with medication and lifestyle modifications for better cardiovascular risk reduction.

Area of Science:

  • Cardiology
  • Hypertension Management

Background:

  • The 2024 European Society of Cardiology (ESC) guidelines update hypertension management strategies.
  • Previous guidelines had different thresholds for intervention.

Purpose of the Study:

  • To outline the new ESC guidelines for managing elevated blood pressure and hypertension.
  • To emphasize early intervention and risk stratification.

Main Methods:

  • Introduction of a new category: "elevated blood pressure" (120-139/70-89 mmHg).
  • Recommendation for concurrent lifestyle modifications and antihypertensive medication for hypertension (≥140/90 mmHg).
  • New target systolic blood pressure set at 120-129 mmHg.

Main Results:

  • ESC guidelines now extend treatment recommendations to individuals with elevated blood pressure below 140/90 mmHg.
  • Spironolactone is recommended for resistant hypertension, with renal denervation as an alternative.
  • Individualized treatment goals are advised for frail patients or those aged ≥85 years.

Conclusions:

  • The updated ESC guidelines promote earlier and more aggressive management of elevated blood pressure and hypertension.
  • These changes aim to reduce cardiovascular risk through timely interventions and tailored treatment approaches.

Keywords:
Antihypertensive therapyCardiovascular riskCurrent guidelinesHolistic approachLifestyle adjustment

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