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European guidelines for hypertension in 2024: a comparison of key recommendations for clinical practice

Lucas Lauder1,2, Thomas Weber3, Michael Böhm4

  • 1Department of Cardiology, University Heart Center, University Hospital Basel, Basel, Switzerland. lucas.lauder@usb.ch.

Nature Reviews. Cardiology
|July 21, 2025
PubMed

Insights

This expert recommendation clarifies recent European guidelines on hypertension management. It highlights consensus and differences to aid healthcare professionals in improving blood pressure control and reducing cardiovascular mortality.

Area of Science:

  • Cardiology
  • Hypertension Management

Background:

  • Hypertension is a leading modifiable risk factor for cardiovascular disease and mortality globally.
  • Suboptimal blood pressure control poses a significant global health-care burden due to factors like poor awareness, diagnosis, and treatment adherence.
  • Recent European guidelines on hypertension have diverged, with separate publications from the European Society of Hypertension and the European Society of Cardiology in 2023 and 2024.

Purpose of the Study:

  • To present key consensus recommendations from the latest European hypertension guidelines.
  • To compare and contrast differing approaches in the definition, classification, diagnosis, and treatment of hypertension.
  • To assist healthcare professionals in optimizing hypertension management and reducing associated adverse outcomes and premature deaths.

Main Methods:

  • Comparative analysis of the 2023 European Society of Hypertension and 2024 European Society of Cardiology guidelines.
  • Identification of areas of agreement and divergence in hypertension management recommendations.
  • Expert interpretation to guide clinical decision-making.

Main Results:

  • The 2023 and 2024 European guidelines share many common recommendations for hypertension management.
  • Specific differences exist in the definition, classification, diagnosis, and treatment strategies outlined by the two societies.
  • Consensus points provide a foundation for unified clinical practice.

Conclusions:

  • Healthcare professionals must be aware of both the consensus and the differences between the latest European hypertension guidelines.
  • Informed decision-making based on these guidelines can lead to improved blood pressure control.
  • Effective management of hypertension is crucial for reducing cardiovascular disease burden and mortality.

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