Key Updates to the 2024 ESC Hypertension Guidelines and Future Perspectives.

Crischentian Brinza, Alexandru Burlacu, Masanari Kuwabara, Mehmet Kanbay

Journal: Medicina (Kaunas, Lithuania) 2025;61(2):

PMID: 40005310

Abstract

Hypertension remains a critical global health challenge, significantly contributing to cardiovascular morbidity and mortality despite advancements in treatment. The 2024 ESC hypertension guidelines address persistent gaps in hypertension management by emphasizing comprehensive strategies encompassing early detection, socioeconomic barriers, lifestyle interventions, and personalized care. Enhanced screening protocols, including home and ambulatory blood pressure monitoring, aim for accurate diagnosis and risk stratification. Lifestyle recommendations now prioritize reducing sodium intake, increasing potassium consumption, and integrating tailored exercise regimens. Pharmacological updates advocate for single-pill combinations and stringent BP targets (<130/80 mmHg), emphasizing the benefits of sodium-glucose cotransporter-2 inhibitors for specific comorbidities. Minimally invasive therapies like renal denervation are explored for resistant hypertension, while digital tools such as telehealth and mobile applications enhance patient engagement and adherence. This multifaceted, patient-centered approach provides a roadmap for optimizing BP control, reducing cardiovascular risks, and addressing the complexities of hypertension in diverse populations.

Address: Faculty of Medicine, University of Medicine and Pharmacy "Grigore T Popa", 700115 Iasi, Romania.; Institute of Cardiovascular Diseases "Prof. Dr. George I.M. Georgescu", 700503 Iasi, Romania.; Division of Public Health, Center for Community Medicine, Jichi Medical University, Shimotsuke 329-0431, Japan.; Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University, Shimotsuke 329-0431, Japan.; Faculty of Medicine, University of Medicine and Pharmacy "Grigore T Popa", 700115 Iasi, Romania.; Department of Medicine, Division of Nephrology, School of Medicine, Koc University, 34450 Istanbul, Turkey.
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