12. 2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension
Average read time: 40-50 minutes
Short Summary of the Article:
The article provides the 2024 European Society of Hypertension (ESH) clinical practice guidelines for managing arterial hypertension. These guidelines focus on accurate blood pressure measurement, diagnosis, and risk assessment using office-based, ambulatory, and home-based monitoring systems. Key aspects include the introduction of lifestyle interventions, pharmacological treatments, and the strategic management of hypertension, especially in high-risk populations. The guidelines emphasize a personalized approach to treatment based on cardiovascular risk factors and hypertension-mediated organ damage (HMOD). The article includes a MASTERplan to simplify implementation in clinical practice.
Learning Outcomes
Upon completion of this activity, you should have an understanding of:
- Accurate Blood Pressure Measurement Techniques: Learners will understand the importance of using different blood pressure monitoring systems (office, ambulatory, and home) for accurate diagnosis and management of hypertension.
- Lifestyle and Pharmacological Interventions in Hypertension: Learners will be able to identify the role of lifestyle modifications, such as dietary changes and exercise, as well as the proper use of antihypertensive medications based on individual patient needs.
- Risk Stratification and Management of Hypertension: Learners will grasp how to assess cardiovascular risk and manage hypertension through a stepwise approach, considering factors like age, sex, comorbidities, and organ damage
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Earned Point(s): 0 of 0, (0) What is the primary purpose of the ESH MASTERplan? 1 True or False: Ambulatory BP monitoring (ABPM) is more accurate than office BP measurement for diagnosing hypertension. 2 Which of the following is considered a key aspect of lifestyle intervention for managing hypertension? 5 What is the recommended blood pressure target for most hypertensive patients? 7 True or False: The guidelines recommend the use of beta blockers as a first-line treatment for all patients with hypertension. 8 Which of the following conditions increases the risk of cardiovascular events in hypertensive patients? 6 Which monitoring method is specifically recommended for detecting nocturnal hypertension? 3 What is a clinical indication for home blood pressure monitoring (HBPM)? 3 True or False: Hypertensive patients with CKD should avoid the use of ACE inhibitors. 8 What type of hypertension is more common in individuals with normal office BP but high cardiovascular risk? 3 Which of the following is NOT recommended for patients with true-resistant hypertension? 9 What factor should be assessed during the extended evaluation of hypertensive patients? 3 In older patients, which functional capacity assessment is critical for hypertension management? 7 Which antihypertensive drug class is recommended as first-line treatment for most hypertensive patients? 8 Which patient group benefits most from lifestyle interventions alone in managing hypertension? 7
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