Hypertension Guidelines: 2021 USPSTF Recommendation, 2018 ESC/ESH, 2017 ACC/AHA, and the 2014 JNC8 guideline. (2024)

Read the JNC8 Guidelines

2021 USPSTF Recommendation: Screening for Hypertension inAdults

In 2021, the US Preventative Services taskforce issued a new recommendation statement on screening for hypertension in adults. The statement reaffirms the 2015 USPSTFrecommendation concluding with high certainty that screening for hypertension in adults has substantial net benefit.

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  See Also

  Internal Medicine Clinical Practice GuidelinesAAIM Principles and Recommendations for the 2021-2022 Internal Medicine Residency Interview Cycle in Response to the Continued COVID-19 Pandemic

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  April 27, 2021 | 18 min 8 sec

  USPSTF Recommendation: Screening for Hypertension in Adults Download MP3

Review and Patient Information

• Evidence Report
• JAMA Patient Page
• Screening for Hypertension in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force JAMA | April 27, 2021
• Screening for Hypertension in Adults JAMA | April 27, 2021

2018 ESC/ESH Guideline

In 2018 the ESC/ESH published a guideline which retains the 140/90 threshold definition of hypertension, including for patients with chronic kidney disease(CKD), and emphasizes lifestyle interventions as primary treatment, with consideration of antihypertensive drug therapy only in adults at very high risk, eg with established CVD. In many other respects the 2018 guidelineis similar to the 2017 ACC/AHAguideline.

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  November 6, 2018 | 32 min 27 sec

  Battle of the Heart Societies: Who Is Right--the US or Europe--Regarding How to Manage Hypertension? Download MP3

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  November 6, 2018 | 32 min 25 sec

  Battle of the Heart Societies Part 2: Who Is Right--the US or Europe--Regarding How to Manage Hypertension? Download MP3

2017 ACC/AHA Hypertension Guideline

In 2017 the ACC/AHA and 9 other specialty organizations published an updated hypertension guideline which, among manychanges, redefined elevated blood pressure to lower BP levels, enlarging the population considered potential candidates for monitoring andtreatment. Learn morehere.

Research, Reviews, and Commentary

• Research and Review
• Opinion
• Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults JAMA | JAMA Clinical Guidelines Synopsis | December 5, 2017
• The 2018 European Society of Cardiology/European Society of Hypertension and 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines: More Similar Than Different JAMA | Viewpoint | November 6, 2018
• Prevalence of Hypertension, Treatment, and Blood Pressure Targets in Canada Associated With the 2017 American College of Cardiology and American Heart Association Blood Pressure Guidelines JAMA Network Open | Original Investigation | March 8, 2019
• Blood Pressure Control—Much Has Been Achieved, Much Remains to Be Done JAMA Cardiology | Editorial | May 23, 2018
• Media Coverage of the Benefits and Harms of the 2017 Expanded Definition of High Blood Pressure JAMA Internal Medicine | Research Letter | December 28, 2018
• The New Hypertension Guidelines: Compelling Population Benefit, Manageable Risk, and Time to Implement JAMA Cardiology | Editor's Note | May 23, 2018
• Association of Blood Pressure Classification in Young Adults Using the 2017 American College of Cardiology/American Heart Association Blood Pressure Guideline With Cardiovascular Events Later in Life JAMA | Original Investigation | November 6, 2018
• Incremental Benefits and Harms of the 2017 American College of Cardiology/American Heart Association High Blood Pressure Guideline JAMA Internal Medicine | Editorial | April 16, 2018
• Association of Blood Pressure Classification in Korean Young Adults According to the 2017 American College of Cardiology/American Heart Association Guidelines With Subsequent Cardiovascular Disease Events JAMA | Original Investigation | November 6, 2018
• The 2017 Hypertension Guideline: What’s New and Different JAMA | Viewpoint | November 20, 2017

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  May 23, 2018 | 19 min 6 sec

  Association of the 2014 and 2017 Hypertension Guidelines With Cardiovascular Events and Deaths in US Adults Download MP3

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  December 5, 2017 | 39 min 43 sec

  Managing Hypertension Part 1: Understanding the New AHA/ACC Hypertension Guideline Download MP3

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  December 12, 2017 | 10 min 37 sec

  Managing Hypertension Part 2: Understanding the New AHA/ACC Hypertension Guideline Download MP3

2014 Guideline

In 2014, panel members of the Eighth Joint National Committee published the results of their evidence review and deliberations about the prevention, detection, evaluation, and treatment of high bloodpressure.

The 2014 guideline offers recommendations for the management of hypertensionin:

• People older or younger than age 60 years
• People aged ≥18 years with chronic kidney disease
• People aged ≥18 years with diabetes
• Black and nonblack populations

Research, Reviews, and Commentary

• Related Editorials
• Post-Publication Peer Review
• Assessing the Trustworthiness of the Guideline for Management of High Blood Pressure in Adults JAMA | Editorial | February 5, 2014
• Guidelines for Managing High Blood Pressure JAMA | Comment & Response | July 16, 2014
• Recommendations for Treating Hypertension: What Are the Right Goals and Purposes? JAMA | Editorial | February 5, 2014
• Guidelines for Managing High Blood Pressure JAMA | Comment & Response | July 16, 2014
• Updated Guidelines for Management of High Blood Pressure: Recommendations, Review, and Responsibility JAMA | Editorial | February 5, 2014
• Guidelines for Managing High Blood Pressure JAMA | Comment & Response | July 16, 2014
• Hypertension—A Public Health Challenge of Global Proportions JAMA | Editorial | November 6, 2018
• Guidelines for Managing High Blood Pressure—Reply JAMA | Comment & Response | July 16, 2014

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  December 18, 2013 | 22 min 57 sec

  2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8) Download MP3

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  Oct 29, 2015 | 60 min 18 sec

  WIHI: How High? How Low? Shared Decision Making Amidst Shifting (Hypertension) Guidelines Download MP3

The JAMA Report: Proportion of US Adults Potentially Affected by the 2014 HypertensionGuideline

Author Interview: Proportion of US Adults Potentially Affected by the 2014 HypertensionGuideline

JAMA Patient Pages

• New Guideline for Treatment of High Blood Pressure in Adults
• Salt Restriction
• Hypertension
• Retinopathy
• I Have High Blood Pressure: What Do I Need to Know?
• Monitoring Blood Pressure Outside of the Doctor's Office