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New guidelines now define high blood pressure for all adults as 130/80 millimeters of mercury (mm Hg) or higher. Lowering the threshold for treatment was found to give greater protection against heart attacks and strokes.
The 2023 European Society of Hypertension (ESH) and 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guidelines both emphasize proper blood pressure (BP) measurement, cardiovascular (CV) risk assessment, optimal lifestyle interventions, and specific pharmacotherapy management.
Blood pressure categories in the new guideline are: Normal: Less than 120/80 mm Hg; Elevated: Top number (systolic) between 120-129 and bottom number (diastolic) less than 80; Stage 1: Systolic between 130-139 or diastolic between 80-89; Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;
Lowering systolic blood pressure to less than 120 mm Hg versus less than 140 mm Hg in patients with high cardiovascular risk with and without diabetes or previous stroke: an open-label, blinded-outcome, randomised trial.
To align with its mission to reduce the global burden of raised blood pressure (BP), the International Society of Hypertension (ISH) has developed worldwide practice guidelines for the management of hypertension in adults, aged 18 years and older.
the new ESH guideline strengthened the recommendation to use out-of-office blood pressure monitoring for the diagnosis and long-term management of hypertension and recommended using attended automated office blood pressure measurement, with the average of three
The AAFP’s new clinical practice guideline on hypertension gives family physicians clear, evidence-based recommendations on optimal blood pressure targets for adults with hypertension.
The old guidelines set high blood pressure rates at 140 or higher. These new guidelines were informed by a number of clinical studies that showed that lifestyle changes can help high-risk individuals reduce their blood pressure—and may ultimately save lives.
Most notably, the new guidelines state that: (1) The BP threshold for treatment in the general population is ≥140 mmHg SBP and/or 90 mmHg DBP, with a treatment target <130/80 mmHg and encouragement to reach a range of 120 to 129/70 to 79 mmHg; (2) in patients aged 65 to 79 years, an initial primary SBP target of 130 to 140 mmHg is recommended ...
The new guidelines are designed to get more patients to an evidence-based blood pressure treatment target and to increase the eligibility for blood pressure lowering medications to match the best current evidence from clinical trials.
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