esc hypertension guidelines 2020 pdf

He is the Editor of the Journal of Hypertension. _gaq.push(['_setDomainName', '.escardio.org']); No commercial use is authorized. This guideline covers identifying and treating primary hypertension (high blood pressure) in people aged 18 and over, including people with type 2 diabetes. Study of the European Society of Hypertension on Blood Pressure Control in ESH Excellence Centres dedicated to Professor Alberto Zanchetti. HYPERTENSION 2020: HIGHLIGHTS The Hypertension Canada Guidelines are the nation’s clinical practice guidelines for the management of hypertension. Clinical Evaluation and Assessment of Hypertension-Mediated Organ Damage in Patients with Hypertension, 5.3. }); Women, pregnancy, oral contraception, and hormone-replacement therapy, 8.10. The content of these European Society of Cardiology (ESC) and European Society of Hypertension (ESH) Guidelines has been published for personal and educational use only. Blood pressure during exercise and at high altitude, 5. JNC 8 Hypertension Guideline Algorithm Lifestyle changes: • Smoking Cessation • Control blood glucose and lipids • Diet Eat healthy (i.e., DASH diet) Moderate alcohol consumption Reduce sodium intake to no more than 2,400 mg/day •Physical activity Moderate-to-vigorous activity 3-4 days a … Ambulatory blood pressure monitoring, 4.6. Research presented at the AHA 2020 Virtual scientific sessions examined the lack of guidelines for community pharmacists to refer patients for hypertension treatment. ESC HTN Guidelines Summary Subject: A guideline brochure from the management of arterial hypertension of the European Society of Cardiology \(ESC\) and the European Society of Hypertension \(ESH\) for the management of arterial hypertension \(HTN\), which covers patient selection for renal \ denervation \(RDN.\) Created Date: 2/25/2020 8:04:15 PM var ext = new Array(); Did you know that your browser is out of date? var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; _gaq.push(['is._trackPageview']); window.dataLayer = window.dataLayer || []; All rights reserved. }); Conventional office blood pressure measurement, 4.2. They should be essential in everyday clinical decision making. Hypertension in valvular disease and aortopathy, 8.19. },s.version='1.1',s.queue=[],u=t.createElement(n),u.async=!0,u.src='//static.ads-twitter.com/uwt.js', German, PDF: Hypertension Arterielle 2019: French, PDF: Ipertensione Arteriosa 2019: Italian, PDF: All Guidelines 2019 can be ordered as hardcopy under info@swisshypertension.ch: 2020 ISH, Global Hypertension Practice Guidelines: English, PDF: 2018 ESH/ESC Guidelines for the management of arterial hypertension: English, PDF Continued search for asymptomatic hypertension-mediated organ damage. Healthcare 2020, 8, 122 2 of 8 previous guidelines and the 2018 ESC/ESH guidelines [3–5]. b.src = "https://snap.licdn.com/li.lms-analytics/insight.min.js"; Non-St-Segment Elevation Acute Coronary Syndromes; Atrial Fibrillation; Adult Congenital Heart Disease No part of the ESC/ESH Guidelines may be translated or reproduced in any form without written permission from the ESC or ESH. a=t.getElementsByTagName(n)[0],a.parentNode.insertBefore(u,a))}(window,document,'script'); { fbq('track', 'PageView'); 2018 European Society of Cardiology/European Society of Hypertension Guidelines (Williams B, Mancia G, Spiering W, et al. var _gaq = _gaq || []; window.dataLayer = window.dataLayer || []; s.parentNode.insertBefore(t,s)}(window,document,'script', The 2020 European Society of Cardiology (ESC) Clinical Practice Guidelines for AF summarise and evaluate the available evidence from 1,492 references to provide an overview of contemporary AF diagnosis, management and research. Confirming the diagnosis of hypertension, 4.10. !function(f,b,e,v,n,t,s) Our mission: To reduce the burden of cardiovascular disease. Hypertension in Specific Circumstances, 8.3. 'canonicalURL':'https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Arterial-Hypertension-Management-of', Follow-up of subjects with high–normal blood pressure and white-coat hypertension, 10.3. Hypertension, atrial fibrillation, and other arrhythmias, 8.18. The systolic blood pressure is particularly important and is the basis for diagnosis in most patients. function gtag(){dataLayer.push(arguments);} Results The ACC/AHA 2017 guideline recommended the highest percentage of participants for antihypertensive medication (45.8%) compared with the JNC7 (37.2%), ESH/ESC 2013 (17.8%), ESC/ESH 2018 (26.7%), WHO/ISH 2003 (20.3%) or ISH 2020 (25.0%) guidelines. ‘What To Do’ and ‘What Not To Do’ Messages from the Guidelines. for (var i in ext) n.queue=[];t=b.createElement(e);t.async=!0; When to refer a patient with hypertension for hospital-based care, 7.1. twq('track','PageView'); Importance of hypertension-mediated organ damage in refining cardiovascular risk assessment in hypertensive patients. 3. Beneficial effects of blood-pressure-lowering therapy in hypertension, 7.2. Advantages and disadvantages of ambulatory blood pressure monitoring and home blood pressure monitoring, 4.7. 2.1 Why do we need new Guidelines on the management of adult congenital heart disease? _gaq.push(['_trackEvent', 'Download', 'Click',text]); Characteristics of hypertension-mediated organ damage, 5.6. ESC Committee for Practice Guidelines (CPG), European Society of Hypertension (ESH) Council, ESC National Cardiac Societies having participated in the review process, ESH If you are seeing this message, it is likely that the Javascript option in your browser is disabled. Managing Concomitant Cardiovascular Disease Risk, 9.2. Hypertension in different ethnic groups, 8.12 Hypertension and chronic kidney disease, 8.13. _gaq.push(['_trackPageview', link]); 13. })(); }); ext = ['pdf', 'zip', 'doc', 'docx', 'xls', 'xlsx', 'ppt', 'pptx', 'pps','ppsx','mp3', 'txt', 'vsd', 'rar', 'wma', 'avi', 'mmv']; Cerebrovascular disease and cognition, 8.16. However, the impact of di erent diagnostic thresholds of these guidelines on the prevalence of hypertension phenotypes has not been established. _gaq.push(['_trackPageview']); !function(a){var e="https://s.go-mpulse.net/boomerang/",t="addEventListener";if("False"=="True")a.BOOMR_config=a.BOOMR_config||{},a.BOOMR_config.PageParams=a.BOOMR_config.PageParams||{},a.BOOMR_config.PageParams.pci=!0,e="https://s2.go-mpulse.net/boomerang/";if(window.BOOMR_API_key="T82MQ-GPVG9-NSNQK-M7W5T-6ABXY",function(){function n(e){a.BOOMR_onload=e&&e.timeStamp||(new Date).getTime()}if(!a.BOOMR||!a.BOOMR.version&&!a.BOOMR.snippetExecuted){a.BOOMR=a.BOOMR||{},a.BOOMR.snippetExecuted=!0;var i,_,o,r=document.createElement("iframe");if(a[t])a[t]("load",n,!1);else if(a.attachEvent)a.attachEvent("onload",n);r.src="javascript:void(0)",r.title="",r.role="presentation",(r.frameElement||r).style.cssText="width:0;height:0;border:0;display:none;",o=document.getElementsByTagName("script")[0],o.parentNode.insertBefore(r,o);try{_=r.contentWindow.document}catch(O){i=document.domain,r.src="javascript:var d=document.open();d.domain='"+i+"';void(0);",_=r.contentWindow.document}_.open()._l=function(){var a=this.createElement("script");if(i)this.domain=i;a.id="boomr-if-as",a.src=e+"T82MQ-GPVG9-NSNQK-M7W5T-6ABXY",BOOMR_lstart=(new Date).getTime(),this.body.appendChild(a)},_.write("'),_.close()}}(),"".length>0)if(a&&"performance"in a&&a.performance&&"function"==typeof a.performance.setResourceTimingBufferSize)a.performance.setResourceTimingBufferSize();!function(){if(BOOMR=a.BOOMR||{},BOOMR.plugins=BOOMR.plugins||{},!BOOMR.plugins.AK){var e="true"=="true"?1:0,t="",n="ewfrs3s4pi7vgyfb3kcq-f-bde4de10c-clientnsv4-s.akamaihd.net",i={"ak.v":"31","ak.cp":"1078609","ak.ai":parseInt("299204",10),"ak.ol":"0","ak.cr":19,"ak.ipv":4,"ak.proto":"http/1.1","ak.rid":"efa078a","ak.r":25841,"ak.a2":e,"ak.m":"a","ak.n":"essl","ak.bpcip":"37.139.25.0","ak.cport":56834,"ak.gh":"95.101.79.133","ak.quicv":"","ak.tlsv":"tls1.3","ak.0rtt":"","ak.csrc":"-","ak.acc":"reno","ak.t":"1621219973","ak.ak":"hOBiQwZUYzCg5VSAfCLimQ==2BAdiT9GO/z35lNNuMkn/4yWz+uV2picxk3HOZcPwy4qUmI8/UvURIde3v3SSaUTGUBmSCPtPNnVryriw9eqIjTd2U8/XpwEjZEqa5rMWmykHkMKunEobj7DB9VdxPvZFF1i5TrSa12p9i1iPZBNmWygR9qEutfkI9EA0W6epIfKK+1pm49UUV5/el6G3JGFWfvaEyNi86aGpTV8LyavyRHAqnjvpC9ZtxutKhiJEAH17AyhrR0+uL1+PyuUyuJ3vRH4+GNzyEfyWdY821okZ1CyU/34Rql902itIjaybVHEB3QT2hi5HOn8LXFTCoXmYQEGL02u4YAYbM9X16eX27ErsGwUhRvppz12WYYwBJhtPkwRne9BusDcV11kcfcBkzFW3GaLTQTfN6pz/lU2wAp9so8m8K6sVjlij4cc3uE=","ak.pv":"41","ak.dpoabenc":""};if(""!==t)i["ak.ruds"]=t;var _={i:!1,av:function(e){var t="http.initiator";if(e&&(!e[t]||"spa_hard"===e[t]))i["ak.feo"]=void 0!==a.aFeoApplied?1:0,BOOMR.addVar(i)},rv:function(){var a=["ak.bpcip","ak.cport","ak.cr","ak.csrc","ak.gh","ak.ipv","ak.m","ak.n","ak.ol","ak.proto","ak.quicv","ak.tlsv","ak.0rtt","ak.r","ak.acc","ak.t"];BOOMR.removeVar(a)}};BOOMR.plugins.AK={akVars:i,akDNSPreFetchDomain:n,init:function(){if(!_.i){var a=BOOMR.subscribe;a("before_beacon",_.av,null,null),a("onbeacon",_.rv,null,null),_.i=!0}return this},is_complete:function(){return!0}}}}()}(window); Read your latest personalised notifications. See also NICE’s guideline on hypertension in pregnancy. Physical examination and clinical investigations, 5.4. Lifestyle modification recommendations: Both guidelines recommend lifestyle modifications as primary interventions to prevent and treat hypertension. Unattended office blood pressure measurement, 4.3. 4.1. 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PDF | On May 6, 2020, Thomas Unger and others published 2020 International Society of Hypertension Global Hypertension Practice Guidelines | Find, read and cite all … The most important task of the European Society of Hypertension is to improve blood pressure treatment and increase blood pressure control, thus decreasing cardiovascular risk, premature cardiovascular and renal morbidity and mortality, with in … 570 2.2 Content of these Guidelines 570 2.3 New format of the Guidelines 570 2.4 How to use these Guidelines 570 2.5 What is new in the 2020 Guidelines? 'https://' : 'http://') + 'stats.g.doubleclick.net/dc.js'; Assessment of hypertension-mediated organ damage, 5.4.1. Journal of Hypertension 2020, ... only 25% of countries have hypertension guidelines [13], ... to a simplified version of the approach proposed by ESC-ESH Guidelines According to Sverre E. Kjeldsen, MD, of the department of cardiology at the University of Oslo, Ullevaal Hospital, Oslo, Norway, and colleagues, the modern … White-coat hypertension and masked hypertension, 4.8. Guideline Development Process The 2020 ISH Global Hypertension Practice Guidelines were developed by the ISH Hypertension Guidelines Committee based on evidence criteria, (1) to be used globally; (2) to be fit for application in low and high resource settings by advis-ing on essential and optimal standards; and (3) to be concise, Hypertension in younger adults (age <50 years), 8.8. When to initiate antihypertensive treatment, 7.5. Hypertension and total cardiovascular risk assessment, 3.6. _gaq.push(['is._setDomainName', '.escardio.org']); Blood pressure relationship with risk of cardiovascular and renal events, 3.5. window._linkedin_data_partner_ids.push(_linkedin_partner_id); Glucose-lowering drugs and blood pressure, 10.2. Most major guidelines recommend that hypertension be diagnosed when a person’s systolic blood pressure is ≥140 mm Hg or their diastolic blood pressure is ≥90 mmHg, or both, on repeated examination. Joint ESH and ESC guidelines. gtag('config', 'AW-1041569446'); 'https://connect.facebook.net/en_US/fbevents.js'); Of these recommendations, 161 are class 1 and 293 are class 2 recommendations (Figure 2). 2020 International Society of Hypertension global hypertension practice guidelines J Hypertens. Guidelines’ Task Force and as a section co-ordinator. ga.src = ('https:' == document.location.protocol ? Improvement in blood pressure control in hypertension: drug adherence, 10.5. _linkedin_partner_id = "771713"; Clinical indications for out-of-office blood pressure measurements, 4.11. Participants with antihypertensive medication recommendation according to the ACC/AHA 2017 guideline had a … _gaq.push(['_setAccount', 'UA-6935686-1']); var fileType = 'a[href$="'+ext[i]+'"]'; Elevated blood pressure at control visits, 10.4. (function() { var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); {if(f.fbq)return;n=f.fbq=function(){n.callMethod? To get the best experience using our website we recommend that you upgrade to a newer version. Reference European Heart Journal:doi/10.1093/eurheartj/ehy339, Reference doi.org/10.1093/eurheartj/ehy686, Reference European Heart Journal:34;2159–2219, Association for Acute CardioVascular Care, European Association of Preventive Cardiology, European Association of Cardiovascular Imaging, European Association of Percutaneous Cardiovascular Interventions, Association of Cardiovascular Nursing & Allied Professions, Working Group on Atherosclerosis and Vascular Biology, Working Group on Cardiac Cellular Electrophysiology, Working Group on Pulmonary Circulation & Right Ventricular Function, Working Group on Aorta and Peripheral Vascular Diseases, Working Group on Myocardial & Pericardial Diseases, Working Group on Adult Congenital Heart Disease, Working Group on Development, Anatomy & Pathology, Working Group on Coronary Pathophysiology & Microcirculation, Working Group on Cellular Biology of the Heart, Working Group on Cardiovascular Pharmacotherapy, Working Group on Cardiovascular Regenerative and Reparative Medicine, Guidelines and National Cardiac Societies, Belorussian Scientific Society of Cardiologists, Association of Cardiologists of Bosnia & Herzegovina, Association of Cardiologists of Kazakhstan. $(document).on('click',fileType, function() { !function(e,t,n,s,u,a){e.twq||(s=e.twq=function(){s.exe?s.exe.apply(s,arguments):s.queue.push(arguments); Challenges in cardiovascular risk assessment. For the Supplementary Data which include background information and detailed discussion of the data that have provided the basis for the Guidelines see European Guideline Clinical App gives you access clinical guideline content, guideline recommendations, "10 Points" summaries, and tools such as risk scores and calculators Tip: After submitting key term, narrow your results by filtering by clinical topic or selecting specific document types. _gaq.push(['is._setAccount', 'UA-33838783-11']); Pharmacological therapy for hypertension, 8. Developed by an expert volunteer network, the Guidelines are evidence-based, rigorously reviewed, and updated regularly to keep Canada’s health care professionals informed of best-practices in hypertension management. $(document).ready(function() { t.src=v;s=b.getElementsByTagName(e)[0]; Can antihypertensive medications be reduced or stopped? The 2020 Guidelines use the most recent version of the AHA definitions for the COR and LOE (Figure 1). ESC Clinical Practice Guidelines and scientific statements are prepared by task forces which are groups of cardiologists that meet upon request to deal with particular problems in cardiology. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary ... European Society of Cardiology: Konstantinides SV, Meyer G, Becattini C, et al. Society of Hypertension (ESH)/European Society of Cardiology (ESC) 2013/2018), and international (WHO/ International Society of Hypertension (ISH) 2003, ISH 2020) guidelines in 3092 participants of the population-based Heinz Nixdorf Recall study not taking antihypertensive medication at the baseline examination (58.1±7.5 years, 48.7% males). _gaq.push(['is._trackPageview', link]); He will be sadly missed by colleagues and friends. 4 At the time of publication (August 2019), not all preparations of spironolactone have a UK marketing authorisation for this indication. What is new and what has changed in the 2018 European Society of Cardiology/European Society of Hypertension Arterial Hypertension Guidelines? 3 General aspects 570 if(!f._fbq)f._fbq=n;n.push=n;n.loaded=!0;n.version='2.0'; Out-of-office blood pressure measurement, 4.5. Hypertension in older patients (age >65 years), 8.9. Hypertension-mediated organ damage regression and cardiovascular risk reduction with antihypertensive treatment, 5.7. Hypertension ECG Electrocardiograph ESC European Society of Cardiology ESH European Society of Hypertension GFR Glomerular filtration rate GRADE Grading of Recommendations Antiplatelet therapy and anticoagulant therapy, 9.3. _gaq.push(['is._trackEvent', 'Download', 'Click', text]); b.type = "text/javascript";b.async = true; HOW IS HYPERTENSION DEFINED? } Published in 2020. Screening for the detection of hypertension, 4.9. © 2021 European Society of Cardiology.