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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
PubMed

Insights

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.

Keywords:
Blood PressureEuropean Society of CardiologyEuropean Society of HypertensionEuropean guidelinesHypertension

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