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Article pour les cliniciens

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2024 ESC Guidelines for the management of elevated blood pressure and hypertension.

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• McEvoy JW
• McCarthy CP
• Bruno RM
• Brouwers S
• Canavan MD
• Ceconi C, et al.

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Commentaires cliniques (en anglais)

Cardiology

The 2024 ESC elevated blood pressure guidelines provide a comprehensive approach to elevated BP management, closely aligned with the 2017 AHA/ACC guidelines that emphasized lower BP targets and early diagnosis. They recommend combination therapy and individualized treatment based on comorbidities, age, and ethnic groups. Lifestyle changes such as diet, exercise, and weight control are also prioritized to enhance treatment outcomes.

Cardiology

Relevant info. One of the highlights is the inclusion of “elevated blood pressure” as a category, highlighting the fact that even mild elevations in BP can have detrimental effects and compromise outcomes.

Family Medicine (FM)/General Practice (GP)

The article provides detailed evidence and recommendations. As a family physician, I support patient-centered care and multidisciplinary approaches in managing patients with hypertension.

General Internal Medicine-Primary Care(US)

One of the important points is that they are trying to establish new guidelines for a therapeutic range with lower blood pressure. This means that the guidelines are now stricter in their definition, giving more importance to diet and exercise. It also mentions the proper use of available technology for the proper measurement of blood pressure in the office, at home, or on an outpatient basis. I think this guidelines applies more to the Mexican population.