Comparison of the 2018 ESC/ESH and 2017 ACC/AHA Hypertension Guidelines

Clinical practice guidelines are an important established resource in medicine and public health. Clinical practice guidelines are particularly well suited to conditions such as high blood pressure (BP) that are common, result in a substantial disease burden and utilization of health care resources, incur individual and societal cost, demonstrate large variation in practice patterns, and have enough high-quality evidence to guide decision-making. Although many BP-related clinical practice guidelines have been developed by individual countries and professional societies, few would dispute that 2 such reports released during the past 12 months—the 2017 American College of Cardiology (ACC)/American Heart Association (AHA)1 and 2018 European Society of Cardiology (ESC)/European Society of Hypertension (ESH)2 guidelines—have substantial influence beyond their immediate regions of origin.

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