Evidence map›Paper›PMID 39970254›Full record

ReviewHypertension (Dallas, Tex. : 1979)2025

What Is New and Different in the 2024 European Society of Cardiology Guidelines for the Management of Elevated Blood Pressure and Hypertension?

Cian P McCarthy, Rosa Maria Bruno, Kazem Rahimi, Rhian M Touyz, John W McEvoy

Abstract readReview
In one paragraph

Review in Hypertension (Dallas, Tex. : 1979), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Blood pressure targets for hypertension in people with diabetes mellitus.The Cochrane database of systematic reviews · 2026
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Direct Cardiac Compression Device for Short-Term Mechanical Circulatory Support.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
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  15. Review
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  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cian P McCarthyDivision of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston (C.P.M.).ORCID 0000-0002-5013-6112
Rosa Maria BrunoDivision of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston (C.P.M.).ORCID 0000-0002-6107-3356
Kazem RahimiDeep Medicine, Nuffield Department of Reproductive and Women's Health, University of Oxford, United Kingdom (K.R.).ORCID 0000-0002-4807-4610
Rhian M TouyzDepartment of Medicine and Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada (R.M.T.).ORCID 0000-0003-0670-0887
John W McEvoyCardiology Department, Galway University Hospital and University of Galway School of Medicine, Ireland (J.W.M.).ORCID 0000-0001-6530-5479

Funding

Improving the Health Status of Individuals with Type 2 Myocardial InfarctionK23HL167659 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Cian Patrick McCarthy · 2023 to 2026
$786k
Medical Research CouncilNHLBI NIH HHS K23 HL167659
6 · The paper itself

Abstract

In 2024, the European Society of Cardiology released a new guideline for the management of elevated blood pressure (BP) and hypertension. The guideline introduced a new BP categorization: (1) nonelevated (office BP <120/70 mm Hg) for which drug treatment is not recommended, (2) elevated (120-139/70-89 mm Hg) for which drug treatment is recommended based on cardiovascular disease risk and follow-up BP level, and (3) hypertension (≥140/90 mm Hg) for which prompt confirmation and drug treatment are recommended in most individuals. The initial default systolic BP treatment target is 120 to 129 mm Hg; however, relaxed targets (BP as low as reasonably achievable) are recommended in case of treatment intolerance, adults ≥85 years, symptomatic orthostasis, moderate-to-severe frailty, or limited life expectancy. Here, we summarize what is new and different in the 2024 European Society of Cardiology guidelines, relative to other major international hypertension guidelines in Europe and America. Our aim is to reconcile any uncertainty clinicians may have about implementing these various guidelines in patient care.

Indexed as

Antihypertensive AgentsBlood PressureCardiologyHypertensionPractice Guidelines as TopicBlood Pressure DeterminationDisease ManagementEuropeHumansSocieties, MedicalAntihypertensive Agentsblood pressurecardiovascular diseasesguidelinehypertensionrisk

Identifiers

PMID39970254
PMCPMC12011322

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.