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[Hypertension : two European recommendations, two strategies, one clinical challenge]
Justine Huart1,2, François Jouret1,2, Patrizio Lancellotti2,3
1Service de Néphrologie, CHU Liège, Belgique.
Revue Medicale De Liege
|June 16, 2025
Summary
The European Society of Hypertension and European Society of Cardiology now issue separate hypertension guidelines. Differences in blood pressure classification and treatment offer flexible, patient-centered care.
Area of Science:
- Cardiology
- Hypertension Management
Context:
- Joint hypertension guidelines were previously published by the European Society of Hypertension (ESH) and European Society of Cardiology (ESC) in 2003, 2007, 2013, and 2018.
- The ESH and ESC have now released separate recommendations in 2023 and 2024, respectively.
Purpose:
- To outline the key differences between the ESH and ESC hypertension management guidelines.
- To highlight the implications of the European Society of Cardiology's new blood pressure classification.
- To emphasize the complementary nature of the separate guidelines.
Summary:
- Notable differences exist, particularly the ESC's revised blood pressure classification impacting patient management.
- Variations are also present in diagnostic and treatment algorithms.
- Despite differences, both guideline sets are complementary, offering flexibility in clinical decision-making.
Impact:
- The duality in guidelines provides valuable flexibility for tailored patient treatment and clinician judgment.
- The primary goal is to overcome therapeutic inertia in managing hypertension.
- Addressing hypertension effectively is crucial due to its commonality and serious health consequences.
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