2023 esh guidelines for the management of arterial hypertension

In 2023, the European Society of Hypertension (ESH) unveiled new guidelines on the management of arterial hypertension, offering updated advice for healthcare professionals and patients on diagnosing, assessing, and treating hypertension. These guidelines suggest that the normal blood pressure threshold for adults should be below 140/90 mmHg, with an ideal target of less than 130/80 mmHg.

The new guidelines underscore the importance of lifestyle modifications as the initial approach to hypertension management. This includes adopting a healthy diet, engaging in regular physical activity, maintaining a healthy weight, limiting alcohol consumption, and abstaining from smoking. For individuals with blood pressures in the elevated range (130-139/85-89 mmHg), these non-pharmacological interventions are recommended as the first line of action. Patients with blood pressures exceeding 140/90 mmHg may require, in addition to lifestyle modifications, pharmacological treatment. The guidelines also advocate for personalized treatment strategies based on risk stratification, tailoring treatment plans to the patient's age, comorbidities, and other cardiovascular risk factors.

For those diagnosed with hypertension, it is crucial to adhere to medical advice, monitor blood pressure regularly, and adjust lifestyle and medication as needed. Additionally, raising public awareness about the risks associated with hypertension and the importance of regular blood pressure checks is essential for early detection and management of the condition.