# Harmonisatie van ACC/AHA en ESC/ESH bloeddrukrichtlijnen

*geplaatst 2022-09-20 · Hypertensie · Journal of the American College of Cardiology · doi 10.1016/j.jacc.2022.07.005 · https://hartvaat.nl/2022/09/20/harmonisatie-van-acc-aha-en-esc-esh-bloeddrukrichtlijnen/*

Gezamenlijk document van ACC/AHA en ESC/ESH analyseerde de overeenkomsten en verschillen tussen de Amerikaanse en Europese hypertensierichtlijnen. Ondanks verschillende bloeddrukdrempels (130/80 vs 140/90 mmHg) voor diagnose convergeren de streefwaarden voor behandeling.

## English: Harmonization of the American College of Cardiology/American Heart Association and European Society of Cardiology/European Society of Hypertension Blood Pressure/Hypertension Guidelines: Comparisons, Reflections, and Recommendations.

This harmonization document analyzed the similarities and differences between the ACC/AHA and ESC/ESH hypertension guidelines, highlighting converging evidence on treatment initiation thresholds and targets while acknowledging remaining disagreements on classification and risk assessment.

## Abstract (original, from the publication)

The 2017 American College of Cardiology/American Heart Association and 2018 European Society of Cardiology/European Society of Hypertension clinical practice guidelines for management of high blood pressure/hypertension are influential documents. Both guidelines are comprehensive, were developed using rigorous processes, and underwent extensive peer review. The most notable difference between the 2 guidelines is the blood pressure cut points recommended for the diagnosis of hypertension. There are also differences in the timing and intensity of treatment, with the American College of Cardiology/American Heart Association guideline recommending a somewhat more intensive approach. Overall, there is substantial concordance in the recommendations provided by the 2 guideline-writing committees, with greater congruity between them than their predecessors. Additional harmonization of future guidelines would help to underscore the commonality of their core recommendations and could serve to catalyze changes in practice that would lead to improved prevention, awareness, treatment, and control of hypertension, worldwide.

Auteurs: Paul K Whelton, Robert M Carey, Giuseppe Mancia, Reinhold Kreutz, Joshua D Bundy, Bryan Williams

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Bron: Journal of the American College of Cardiology, https://doi.org/10.1016/j.jacc.2022.07.005. Bijgewerkt 2026-07-03T18:38:55Z. Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.