The 2018 ESC/ESH guidelines recommend BP levels < 140/90 mmHg as the first objective of pharmacological treatment in all hypertensives aged between 18 and 65 years [ 1 ]. If the treatment is well tolerated, BP values should be further lowered with a suggested SBP target between 130 and 120 mmHg and a DBP target between 80 and 70 mmHg. We would like to show you a description here but the site won't allow us. The 2018 European Society of Cardiology (ESC) and European Society of Hypertension (ESH) Guidelines for treatment of hypertension were presented at the ESC Congress. The definition of hypertension was unchanged as compared with the one in the 2013 Guidelines, with SBP ≥140 mmHg and/or DBP ≥90 mmHg. For diagnosis, in addition to office BP ESC Committee for Practice Guidelines (CPG), European Society of Hypertension (ESH) Council, ESC National Cardiac Societies having participated in the review process, ESH National Hypertension Societies having participated in the review process: listed in the Appendix. ESC entities having participated in the development of this document: 2018 ESC/ESH Guidelines for the management of arterial hypertension - Task Force Laurent Stephane 1- Financial Declaration A - Direct Personal payment: Speaker fees, Honoraria, Consultancy, Advisory Board fees, Investigator, Committee Member, etc. from healthcare industry. 2018 ESC/ESH Guidelines for the management of arterial hypertension 1. 2018 ESC/ESH Guideline for the management of arterial hypertension Dr. Julfikar Saif Resident, Phase A Department of oncology, BSMMU Violet Unit, Internal Medicine 2. Spoiler…its gonna take a while!!!! 3. Level of evidence 4. Classification of recommendation 5. 2018 ESC/ESH Guidelines for the management of arterial hypertension 10.1016/j.rec.2018.12.004 Rev Esp Cardiol. 2019;72:160 Subscribe to our newsletter View newsletter history Publish in Revista Española de Cardiología Instructions for authors Submit an article Ethics in publishing Information for reviewers Frequently asked questions Last articles 2.1 What is new and what has changed in the 2018 ESC/ESH Arterial Hypertension Guidelines? Changes in recommendations 2013 2018 Diagnosis Diagnosis Office BP is recommended for screening and diagnosis of hypertension. It is recommended to base the diagnosis of hypertension on: • Repeated office BP measurements; or • Out-of-office BP Òscar Miró, Xavier Rosselló, Víctor Gil, Francisco Javier Martín-Sánchez, Pere Llorens, Pablo Herrero, Javier Jacob, María Luisa López-Grima, Cristina Gil, Francisco Javier Lucas Imbernón, José Manuel Garrido, María José Pérez-Durá, María Pilar López-Díez, Fernando Richard, Héctor Bueno, Stuart J. Pocock Drug treatment strategy for hypertension and chronic kidney disease. ACEi = angiotensin-converting enzyme inhibitor; ARB = angiotensin receptor blocker; BP = blood pressure; CCB = calcium channel In comparison to the ACC/AHA guidelines, 8 the ESC/ESH guidelines did not lower threshold BP values for the definition of hypertension. This decision was mainly based on the results of the HOPE-3 trial 9 and a lack of epidemiological evidence justifying a change in the definition of hypertension in favour of lower values. Recently, a German community-dwelling real-life analysis revealed In comparison to the ACC/AHA guidelines, 8 the ESC/ESH guidelines did not lower threshold BP values for the definition of hypertension. This decision was mainly
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