There are simple algorithms in the new guidelines to help guide clinicians. ![]() Facilitating this approach, he added, is the fact that the field has been able to focus in on three major categories of drugs to treat most patients: renin-angiotensin system blockers, calcium channel blockers, and diuretics. Williams predicted a “phenomenal” impact if such a strategy is employed, with greater use of single-pill therapy bringing about 80% of patients under control. Two of the major changes in the joint guidance from the European Society of Cardiology (ESC) and European Society of Hypertension (ESH), according to ESC chairperson Bryan Williams, MD (University College London, England), are an emphasis on using at least two drugs to initiate treatment in the vast majority of patients and on using single-pill combinations to enhance compliance, which will ultimately boost blood pressure control rates. ![]() ![]() Of note, at least some of the proposed recommendations are out of step with those released, amid controversy, by American hypertension experts last year. The Europeans have updated their hypertension guidelines, with changes regarding how to diagnose and treat the condition and how aggressive doctors should be in lowering blood pressure, according to a preview of the new document.
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