Ehs-egypt.net Website Review

PRESIDENT MESSAGE THE NEW (2018) EUROPEAN HYPERTENSION GUIDELINES MM IBRAHIM, MD. Written by M. Mohsen Ibrahim, MD Sunday, 30 September 2018 The European Society of Cardiology (ESC) and the European Society of Hypertension (ESH) jointly developed a series of hypertension guidelines in the years 2003, 207 and 2013. The most recent guidelines were issued by the two societies in August this year (2018) and were published in the European Heart Journal. The new guidelines are printed in more than 90 pages and cover almost all aspects of hypertension based on extensive review of literature giving highest priority to data from randomized controlled trials and well conducted meta-an*lysis. In important areas where there is inadequate or no evidence, guidelines authors resort to expert opinion. The text was developed over approximately 24 months and was reviewed by representatives of ESC and ESH national hypertension societies. Although it is less than five years since the last hypertension European guidelines in 2013, the recent 2018 guidelines show important differences in diagnosis and treatment strategies with the addition of new sections and recommendations on management of hypertensive emergencies, hypertension in women and pregnancy, different ethnic groups, chronic obstructive pulmonary disease, cancer therapies, peri-operative management, se*ual dysfunction and perioperative management. In this message, I will give an overview of the main recommendations in the European guidelines under two headings: diagnosis and treatment The 2018 guidelines (1) maintain the same definition and clas*ification of hypertension as in 2013 guidelines. Hypertension is Out of office blood pressure measurements (ABPM and HBPM) are recommended to confirm the diagnosis of hypertension as an alternative to repeated office visits. Automated multiple blood pressure readings with the patient seated alone give blood pressure values lower than those obtained by conventional office blood pressure measurements and are similar even less than daytime ABPM and HBPM and help to rule out