2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA)

Giuseppe Mancia¹, Reinhold Kreutz², Mattias Brunström³, Michel Burnier⁴, Guido Grassi⁵, Andrzej Januszewicz⁶, Maria Lorenza Muiesan⁷, Konstantinos Tsioufis⁸, Enrico Agabiti-Rosei⁹, Engi Abd Elhady Algharably², Michel Azizi^{10

11}, Athanase Benetos¹², Claudio Borghi¹³, Jana Brguljan Hitij¹⁴, Renata Cifkova^{15

16}, Antonio Coca¹⁷, Veronique Cornelissen¹⁸, J Kennedy Cruickshank¹⁹, Pedro G Cunha^{20

21}, A H Jan Danser²², Rosa Maria de Pinho²³, Christian Delles²⁴, Anna F Dominiczak²⁵, Maria Dorobantu²⁶, Michalis Doumas²⁷, María S Fernández-Alfonso^{28

29}, Jean-Michel Halimi^{30

31

32}, Zoltán Járai³³, Bojan Jelaković³⁴, Jens Jordan^{35

36}, Tatiana Kuznetsova³⁷, Stephane Laurent³⁸, Dragan Lovic³⁹, Empar Lurbe^{40

41

42}, Felix Mahfoud^{43

44}, Athanasios Manolis⁴⁵, Marius Miglinas^{46

47}, Krzystof Narkiewicz⁴⁸, Teemu Niiranen^{49

50}, Paolo Palatini⁵¹, Gianfranco Parati^{52

53}, Atul Pathak⁵⁴, Alexandre Persu⁵⁵, Jorge Polonia⁵⁶, Josep Redon^{41

57

58}, Pantelis Sarafidis⁵⁹, Roland Schmieder⁶⁰, Bart Spronck⁶¹, Stella Stabouli⁶², George Stergiou⁶³, Stefano Taddei⁶⁴, Costas Thomopoulos⁶⁵, Maciej Tomaszewski^{66

67}, Philippe Van de Borne⁶⁸, Christoph Wanner⁶⁹, Thomas Weber⁷⁰, Bryan Williams⁷¹, Zhen-Yu Zhang⁷², Sverre E Kjeldsen⁷³

Affiliations

¹ University of Milano-Bicocca, Milan, Italy.
² Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Clinical Pharmacology and Toxicology, Berlin, Germany.
³ Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
⁴ Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
⁵ Clinica Medica, University Milano-Bicocca, Milan, Italy.
⁶ Department of Hypertension, National Institute of Cardiology, Warsaw, Poland.
⁷ UOC 2 Medicina, ASST Spedali Civili di Brescia, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
⁸ First Department of Cardiology, Medical School, University of Athens, Hippokration Hospital, Athens, Greece.
⁹ Department of Clinical and Experimental Sciences, University of Brescia, Italy.
¹⁰ Université Paris Cité, Paris, France; AP-HP Hôpital Européen Georges-Pompidou, Hypertension Department and DMU CARTE.
¹¹ INSERM, Paris.
¹² Université de Lorraine, CHRU-Nancy, Department of Geriatric Medicine and INSERM DCAC, Nancy, France.
¹³ Department of Medical and Surgical Sciences-IRCCS AOU S. Orsola di Bologna, Bologna, Italy.
¹⁴ University Medical Centre Ljubljana, Department of Hypertension, Medical University Ljubljana, Ljubljana, Slovenia.
¹⁵ Center for Cardiovascular Prevention, Thomayer University Hospital.
¹⁶ Department of Medicine II, Charles University in Prague, First Faculty of Medicine, Prague, Czech Republic.
¹⁷ Hypertension and Vascular Risk Unit, Department of Internal Medicine, Hospital Clínic, University of Barcelona, Spain.
¹⁸ Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
¹⁹ King's College, London, UK.
²⁰ Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department, Hospital Senhora da Oliveira, Guimarães/Minho University.
²¹ Life and Health Science Research Institute (ICVS), School of Medicine, University of Minho; ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal.
²² Department of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
²³ Family and general practitioner, São João da Madeira, Portugal.
²⁴ School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
²⁵ Regius Professor of Medicine, University of Glasgow, Glasgow, UK.
²⁶ University of Medicine and Pharmacy 'Carol Davila', The Romanian Academy.
²⁷ 2nd Prop Department of Internal Medicine, Aristotle University, Thessaloniki, Greece.
²⁸ Instituto Pluridisciplinar and Facultad de Farmacia, Universidad Complutense de Madrid.
²⁹ Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
³⁰ Service de Néphrologie-Hypertension, Dialyses, Transplantation Rénale, CHRU Tours.
³¹ Equipe d'Accueil EA4245, Université de Tours.
³² INI-CRCT, Tours, France.
³³ South-Buda Center Hospital St. Imre University Hospital, Budapest & Semmelweis University, Budapest, Hungary.
³⁴ UHC Zagreb, Dept for Nephrology, Hypertension, Dialysis and Transplantation, School of Medicine, University of Zagreb, Zagreb, Croatia.
³⁵ Institute of Aerospace Medicine, German Aerospace Center.
³⁶ Medical Faculty, University of Cologne, Cologne, Germany.
³⁷ Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven, Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.
³⁸ Paris-Cité University, Paris, France.
³⁹ Singidunum University, Clinic for internal Disease Intermedica Cardiology Department, Hypertension Centre, Nis, Serbia.
⁴⁰ Consorcio Hospital General Universitario de Valencia, Valencia.
⁴¹ Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III (ISCIII), Madrid.
⁴² University of Valencia, Valencia, Spain.
⁴³ Cardiology, Angiology and Intensive Care Medicine, Saarland University Hospital and Saarland University, Homburg, Germany.
⁴⁴ Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
⁴⁵ Metropolitan Hospital, Piraeus, Greece.
⁴⁶ Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.
⁴⁷ Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
⁴⁸ Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland.
⁴⁹ Department of Internal Medicine, Turku University Hospital and University of Turku, Turku.
⁵⁰ Finnish Institute for Health and Welfare, Helsinki, Finland.
⁵¹ Studium Patavinum, Department of Medicine, University of Padova, Padova, Italy.
⁵² IRCCS, Istituto Auxologico Italiano, Ospedale San Luca.
⁵³ Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
⁵⁴ Princess Grace Hospital Monaco (Centre Hospitalier Princesse Grace, CHPG).
⁵⁵ Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires Saint-Luc and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
⁵⁶ CINTESIS; Faculty of Medicine of Porto, Portugal.
⁵⁷ Incliva Research Institute, University of Valencia.
⁵⁸ CIBEROBN, Institute of Health Carlos III (ISCIII), Madrid, Spain.
⁵⁹ 1st Department of Nephrology, Hippokration Hospital, Aristotle University of Thessaloniki, Greece.
⁶⁰ University Hospital Erlangen, Friedrich Alexander University Erlangen/Nürnberg, Germany.
⁶¹ Department of Biomedical Engineering, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
⁶² First Department of Pediatrics, Aristotle University Thessaloniki, Hippokratio Hospital, Thessaloniki.
⁶³ Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece.
⁶⁴ Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
⁶⁵ Department of Cardiology, Helena Venizelou Hospital, Athens, Greece.
⁶⁶ Division of Cardiovascular Sciences, Faculty of Medicine, Biology and Health, University of Manchester.
⁶⁷ Manchester Royal Infirmary, Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, Manchester, UK.
⁶⁸ Department of Cardiology, Erasme Hospital-ULB, Brussels, Belgium.
⁶⁹ Division of Nephrology, Wuerzburg University Clinic, Wuerzburg, Germany.
⁷⁰ Cardiology Department, Klinikum Wels-Grieskirchen, Wels, Austria.
⁷¹ Institute of Cardiovascular Sciences, University College London (UCL); National Institute for Health Research UCL Hospitals Biomedical Research Centre, London, UK.
⁷² Hypertension and Cardiovascular Epidemiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
⁷³ Departments of Cardiology and Nephrology, Institute for Clinical Medicine, and Ullevål Hospital, University of Oslo, Oslo, Norway.

PMID: 37345492
DOI: 10.1097/HJH.0000000000003480

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA)

Giuseppe Mancia et al. J Hypertens. 2023.

. 2023 Dec 1;41(12):1874-2071.

doi: 10.1097/HJH.0000000000003480. Epub 2023 Sep 26.

Authors

Affiliations

¹ University of Milano-Bicocca, Milan, Italy.
² Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Clinical Pharmacology and Toxicology, Berlin, Germany.
³ Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
⁴ Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland.
⁵ Clinica Medica, University Milano-Bicocca, Milan, Italy.
⁶ Department of Hypertension, National Institute of Cardiology, Warsaw, Poland.
⁷ UOC 2 Medicina, ASST Spedali Civili di Brescia, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
⁸ First Department of Cardiology, Medical School, University of Athens, Hippokration Hospital, Athens, Greece.
⁹ Department of Clinical and Experimental Sciences, University of Brescia, Italy.
¹⁰ Université Paris Cité, Paris, France; AP-HP Hôpital Européen Georges-Pompidou, Hypertension Department and DMU CARTE.
¹¹ INSERM, Paris.
¹² Université de Lorraine, CHRU-Nancy, Department of Geriatric Medicine and INSERM DCAC, Nancy, France.
¹³ Department of Medical and Surgical Sciences-IRCCS AOU S. Orsola di Bologna, Bologna, Italy.
¹⁴ University Medical Centre Ljubljana, Department of Hypertension, Medical University Ljubljana, Ljubljana, Slovenia.
¹⁵ Center for Cardiovascular Prevention, Thomayer University Hospital.
¹⁶ Department of Medicine II, Charles University in Prague, First Faculty of Medicine, Prague, Czech Republic.
¹⁷ Hypertension and Vascular Risk Unit, Department of Internal Medicine, Hospital Clínic, University of Barcelona, Spain.
¹⁸ Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
¹⁹ King's College, London, UK.
²⁰ Center for the Research and Treatment of Arterial Hypertension and Cardiovascular Risk, Internal Medicine Department, Hospital Senhora da Oliveira, Guimarães/Minho University.
²¹ Life and Health Science Research Institute (ICVS), School of Medicine, University of Minho; ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal.
²² Department of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
²³ Family and general practitioner, São João da Madeira, Portugal.
²⁴ School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
²⁵ Regius Professor of Medicine, University of Glasgow, Glasgow, UK.
²⁶ University of Medicine and Pharmacy 'Carol Davila', The Romanian Academy.
²⁷ 2nd Prop Department of Internal Medicine, Aristotle University, Thessaloniki, Greece.
²⁸ Instituto Pluridisciplinar and Facultad de Farmacia, Universidad Complutense de Madrid.
²⁹ Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain.
³⁰ Service de Néphrologie-Hypertension, Dialyses, Transplantation Rénale, CHRU Tours.
³¹ Equipe d'Accueil EA4245, Université de Tours.
³² INI-CRCT, Tours, France.
³³ South-Buda Center Hospital St. Imre University Hospital, Budapest & Semmelweis University, Budapest, Hungary.
³⁴ UHC Zagreb, Dept for Nephrology, Hypertension, Dialysis and Transplantation, School of Medicine, University of Zagreb, Zagreb, Croatia.
³⁵ Institute of Aerospace Medicine, German Aerospace Center.
³⁶ Medical Faculty, University of Cologne, Cologne, Germany.
³⁷ Research Unit Hypertension and Cardiovascular Epidemiology, KU Leuven, Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium.
³⁸ Paris-Cité University, Paris, France.
³⁹ Singidunum University, Clinic for internal Disease Intermedica Cardiology Department, Hypertension Centre, Nis, Serbia.
⁴⁰ Consorcio Hospital General Universitario de Valencia, Valencia.
⁴¹ Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition (CIBEROBN), Institute of Health Carlos III (ISCIII), Madrid.
⁴² University of Valencia, Valencia, Spain.
⁴³ Cardiology, Angiology and Intensive Care Medicine, Saarland University Hospital and Saarland University, Homburg, Germany.
⁴⁴ Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
⁴⁵ Metropolitan Hospital, Piraeus, Greece.
⁴⁶ Institute of Clinical Medicine, Faculty of Medicine, Vilnius University.
⁴⁷ Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
⁴⁸ Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland.
⁴⁹ Department of Internal Medicine, Turku University Hospital and University of Turku, Turku.
⁵⁰ Finnish Institute for Health and Welfare, Helsinki, Finland.
⁵¹ Studium Patavinum, Department of Medicine, University of Padova, Padova, Italy.
⁵² IRCCS, Istituto Auxologico Italiano, Ospedale San Luca.
⁵³ Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
⁵⁴ Princess Grace Hospital Monaco (Centre Hospitalier Princesse Grace, CHPG).
⁵⁵ Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires Saint-Luc and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
⁵⁶ CINTESIS; Faculty of Medicine of Porto, Portugal.
⁵⁷ Incliva Research Institute, University of Valencia.
⁵⁸ CIBEROBN, Institute of Health Carlos III (ISCIII), Madrid, Spain.
⁵⁹ 1st Department of Nephrology, Hippokration Hospital, Aristotle University of Thessaloniki, Greece.
⁶⁰ University Hospital Erlangen, Friedrich Alexander University Erlangen/Nürnberg, Germany.
⁶¹ Department of Biomedical Engineering, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
⁶² First Department of Pediatrics, Aristotle University Thessaloniki, Hippokratio Hospital, Thessaloniki.
⁶³ Hypertension Center STRIDE-7, School of Medicine, Third Department of Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, Athens, Greece.
⁶⁴ Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
⁶⁵ Department of Cardiology, Helena Venizelou Hospital, Athens, Greece.
⁶⁶ Division of Cardiovascular Sciences, Faculty of Medicine, Biology and Health, University of Manchester.
⁶⁷ Manchester Royal Infirmary, Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, Manchester, UK.
⁶⁸ Department of Cardiology, Erasme Hospital-ULB, Brussels, Belgium.
⁶⁹ Division of Nephrology, Wuerzburg University Clinic, Wuerzburg, Germany.
⁷⁰ Cardiology Department, Klinikum Wels-Grieskirchen, Wels, Austria.
⁷¹ Institute of Cardiovascular Sciences, University College London (UCL); National Institute for Health Research UCL Hospitals Biomedical Research Centre, London, UK.
⁷² Hypertension and Cardiovascular Epidemiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
⁷³ Departments of Cardiology and Nephrology, Institute for Clinical Medicine, and Ullevål Hospital, University of Oslo, Oslo, Norway.

PMID: 37345492
DOI: 10.1097/HJH.0000000000003480

Erratum in

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA): Erratum.
[No authors listed] [No authors listed] J Hypertens. 2024 Jan 1;42(1):194. doi: 10.1097/HJH.0000000000003621. Epub 2023 Nov 30. J Hypertens. 2024. PMID: 38033262 No abstract available.

Abstract

Luis Alcocer (Mexico), Christina Antza (Greece), Mustafa Arici (Turkey), Eduardo Barbosa (Brazil), Adel Berbari (Lebanon), Luís Bronze (Portugal), John Chalmers (Australia), Tine De Backer (Belgium), Alejandro de la Sierra (Spain), Kyriakos Dimitriadis (Greece), Dorota Drozdz (Poland), Béatrice Duly-Bouhanick (France), Brent M. Egan (USA), Serap Erdine (Turkey), Claudio Ferri (Italy), Slavomira Filipova (Slovak Republic), Anthony Heagerty (UK), Michael Hecht Olsen (Denmark), Dagmara Hering (Poland), Sang Hyun Ihm (South Korea), Uday Jadhav (India), Manolis Kallistratos (Greece), Kazuomi Kario (Japan), Vasilios Kotsis (Greece), Adi Leiba (Israel), Patricio López-Jaramillo (Colombia), Hans-Peter Marti (Norway), Terry McCormack (UK), Paolo Mulatero (Italy), Dike B. Ojji (Nigeria), Sungha Park (South Korea), Priit Pauklin (Estonia), Sabine Perl (Austria), Arman Postadzhian (Bulgaria), Aleksander Prejbisz (Poland), Venkata Ram (India), Ramiro Sanchez (Argentina), Markus Schlaich (Australia), Alta Schutte (Australia), Cristina Sierra (Spain), Sekib Sokolovic (Bosnia and Herzegovina), Jonas Spaak (Sweden), Dimitrios Terentes-Printzios (Greece), Bruno Trimarco (Italy), Thomas Unger (The Netherlands), Bert-Jan van den Born (The Netherlands), Anna Vachulova (Slovak Republic), Agostino Virdis (Italy), Jiguang Wang (China), Ulrich Wenzel (Germany), Paul Whelton (USA), Jiri Widimsky (Czech Republic), Jacek Wolf (Poland), Grégoire Wuerzner (Switzerland), Eugene Yang (USA), Yuqing Zhang (China).

PubMed Disclaimer

Comment in

Editors' Commentary on the 2023 ESH Management of Arterial Hypertension Guidelines.
Whelton PK, Flack JM, Jennings G, Schutte A, Wang J, Touyz RM. Whelton PK, et al. Hypertension. 2023 Sep;80(9):1795-1799. doi: 10.1161/HYPERTENSIONAHA.123.21592. Epub 2023 Jun 24. Hypertension. 2023. PMID: 37354199 Free PMC article.
The latest hypertension guidelines: from encryption to decryption, finally!
Ram CVS. Ram CVS. J Hypertens. 2023 Dec 1;41(12):2072-2073. doi: 10.1097/HJH.0000000000003548. Epub 2023 Nov 2. J Hypertens. 2023. PMID: 37909130 No abstract available.
Should arm positioning matter in the diagnosis of orthostatic hypotension and hypertension?
Paiva AMG, Gomes MICM, Silva ÉAA, Feitosa ADM, Malachias MVB, Sposito AC, Mota-Gomes MA, Nadruz W Jr. Paiva AMG, et al. J Hypertens. 2024 Jan 1;42(1):186-188. doi: 10.1097/HJH.0000000000003571. Epub 2023 Nov 30. J Hypertens. 2024. PMID: 38033257 No abstract available.

References

1. 2003 European Society of Hypertension-European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 2003; 21:1011–1053.
1. Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, et al. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2007; 25:1105–1187.
1. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Bohm M, et al. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2013; 31:1281–1357.
1. Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. J Hypertens 2018; 36:1953–2041.
1. Mancia G, Laurent S, Agabiti-Rosei E, Ambrosioni E, Burnier M, Caulfield MJ, et al. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens 2009; 27:2121–2158.

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2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA)

Affiliations

2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA)

Authors

Affiliations

Erratum in

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Comment in

References

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