New European High Blood Pressure Guidelines

1. The European Society of Hypertension and the European Society of Cardiology has come out with new guidelines for the management of high blood pressure.

2. The new recommendation is that all blood pressure patients should be treated to keep the upper blood pressure lowers 140 mm Hg.

3. In patients with diabetes the lower blood pressure should be kept lower than 85 mm Hg

4. In patients younger than 80 years, the upper blood pressure can be kept 140-150 mm Hg

5. Blood pressure more than 140/90 increases the risk of cardiovascular disease.

6. The salt recommendation is 5 to 6 gram per day. 

7. Reduce salt to 5 gram per day can reduce upper blood pressure by up to 2 mm Hg in normal persons and 4 to 5 mm Hg with patients with high blood pressure.

8. Loosing 5 kg. of weight can reduce upper blood pressure by 4 mm Hg.

9. Regular aerobic exercise training in high blood pressure patients can reduce upper blood pressure by 7 mm Hg.

10. Drug therapy should be started typically within a few weeks if diet and exercise should be started as first line without indicated.

11. The main aim of treatment is to lower blood pressure rather than how it is lowered.

12. ACE inhibitors and AR blockers should not be combined.

13. Those people whose blood pressure is not getting controlled renal denervation surgery should be considered.