ESC / ESH 2018 guidance on the diagnosis and treatment of hypertension

Author(s): Miguel Angel Lpez Aranda

At the start of a document fairly recent ESC / ESH 2018 guidance on the diagnosis and treatment of hypertension, developments and changes to be included in the guide 2013 with which we were working and practicing in our daily practice, but having many technical concepts and professionals, will give important aspects for the general public, our patients. Starting with the definition of hypertension, which says; Systolic blood pressure (SBP) ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg, make the diagnosis, unlike the changes presented in the American guide, who already considers HTA people with values> 130/80 mmHg, which has generated an intense debate among specialists involved in treating hypertension. They will continue to use the same values for young people, middle-aged or older, while for children and adolescents change, using a specific nomenclature for them. The thresholds used to define the optimal pressure, normal pressure and normal-high pressure and varying degrees of pressure, not change.Among the most relevant and novel aspects, will detail the “Lifestyle”, in which: