Key Takeaways

A national guideline update encourages earlier intervention on high blood pressure, when patients are still at low cardiovascular risk.

New recommendations also focus on BP management in pregnancy and screening for primary aldosteronism.

The new guideline keeps the 130/80 mm Hg cutoff for hypertension established in 2017.

Blood pressure (BP) guidelines moved the bar lower for hypertension treatment, among other changes in the first national guideline update since 2017.

New class 1 recommendations advocated initiation of antihypertensives if average systolic BP remains at least 130 mm Hg or average diastolic BP remains at least 80 mm Hg after 3-6 months of lifestyle intervention in adults without clinical cardiovascular disease (CVD) who have an estimated 10-year CVD risk

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