open access

Vol 9, No 1 (2014)
Review Papers
Published online: 2014-03-19
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New European guidelines for the management of arterial hypertension — do they really influence clinical practice?

Beata Wożakowska-Kapłon, Paweł Salwa, Janusz Siebert
Folia Cardiologica 2014;9(1):33-53.

open access

Vol 9, No 1 (2014)
Review Papers
Published online: 2014-03-19

Abstract

The European Society of Hypertension and the European Society of Cardiology released new guidelines for the management of arterial hypertension in 2013. For the first time guidelines were presented as classes of recommendation based on the level of evidence according to evidence based medicine. Definition and classification of hypertension remained unchanged. Groups of patients with white coat hypertension and with masked hypertension were noted. Importance of total cardiovascular risk stratification was emphasized. The guidelines indicate high prognostic value of home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring. ABPM allows assessing several additional parameters in patients with hypertension and helps to provide proper therapy. Blood pressure lower than 140/90 mm Hg is recommended for most of the patients with hypertension as therapeutic target. The guidelines confirm that five main classes of drugs are suitable for the initiation and maintenance of the antihypertensive treatment, either as monotherapy or in some combinations. It was concluded that main benefit of antihypertensive therapy is due to blood pressure lowering. Management of hypertension in particular groups of patients, invasive methods and treatment of concomitant risk factors were discussed.

Abstract

The European Society of Hypertension and the European Society of Cardiology released new guidelines for the management of arterial hypertension in 2013. For the first time guidelines were presented as classes of recommendation based on the level of evidence according to evidence based medicine. Definition and classification of hypertension remained unchanged. Groups of patients with white coat hypertension and with masked hypertension were noted. Importance of total cardiovascular risk stratification was emphasized. The guidelines indicate high prognostic value of home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring. ABPM allows assessing several additional parameters in patients with hypertension and helps to provide proper therapy. Blood pressure lower than 140/90 mm Hg is recommended for most of the patients with hypertension as therapeutic target. The guidelines confirm that five main classes of drugs are suitable for the initiation and maintenance of the antihypertensive treatment, either as monotherapy or in some combinations. It was concluded that main benefit of antihypertensive therapy is due to blood pressure lowering. Management of hypertension in particular groups of patients, invasive methods and treatment of concomitant risk factors were discussed.
Get Citation

Keywords

hypertension, guidelines

About this article
Title

New European guidelines for the management of arterial hypertension — do they really influence clinical practice?

Journal

Folia Cardiologica

Issue

Vol 9, No 1 (2014)

Pages

33-53

Published online

2014-03-19

Bibliographic record

Folia Cardiologica 2014;9(1):33-53.

Keywords

hypertension
guidelines

Authors

Beata Wożakowska-Kapłon
Paweł Salwa
Janusz Siebert

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