Hypertension – Update from ESC HTN Guidelines 2024

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• Programme
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Participants

• Dr David McConaghy, Irish College of GPs Clinical Lead in Prevention; Member of HSE Team on Integrated Care Programme for Chronic Disease
• Dr John Maher - Host

Summary

• This conversation reviews the management of hypertension in primary care, in light of recently-published ESC 2024 guidelines. We discuss:
• updated blood pressure targets and the potential implications for blood pressure diagnosis and management in primary care;
• the shift towards first-line combination therapy, for potentially improved patient outcomes;
• the role of risk assessment tools such as QRISK3 to guide management;
• the importance of lifestyle changes.

We also highlight the role of ECG and ABPM monitoring, and criteria for referring patients to secondary care, emphasising a proactive approach to management of hypertension, to reduce morbidity and mortality.

Takeaways

• Hypertension is a leading cause of morbidity and mortality.
• The new target for blood pressure is under 130/80 mmHg.
• Elevated blood pressure is now defined as 120/70 mmHg.
• Combination therapy is preferred over monotherapy for hypertension.
• Audits can improve hypertension management in general practice.
• Lifestyle changes are essential for managing hypertension.
• QRISK3 is a useful tool for cardiovascular risk assessment.
• Annual ECG and ABPM are recommended for patients with established hypertension.
• Referral to secondary care is necessary for resistant hypertension.
• Proactive management can significantly reduce cardiovascular events.

Links

1. Guidelines for the management of elevated blood pressure and hypertension 2024 - European Society of Cardiology

2. Primary prevention of cardiovascular disease in primary care - Forum September 2025, Irish College of GPs

3. HSE Opportunistic case finding - 1st Report

4. Structured Chronic Disease Management Treatment Programme - 3rd Report

5. QRISK3 Online Calculator

6. SCORE2 Online Calculator (MDCalc)

Disclaimer
The information provided in this podcast is for educational and informational purposes only. It is not intended to serve as medical advice, diagnosis, or treatment, nor does it replace independent clinical judgment or consultation with a qualified healthcare professional.

The views and opinions expressed by hosts and guests are their own and do not necessarily reflect those of the Irish College of GPs.

Listeners are encouraged to review current clinical guidelines, product labelling, and relevant policies before applying any information discussed in this podcast.

This podcast does not establish a doctor–patient relationship. Healthcare professionals should exercise their own professional judgment in evaluating and applying information to specific clinical situations. Patients or members of the public should seek advice from their own qualified healthcare provider regarding any medical condition or treatment. It may not be possible or appropriate in all circumstances to follow the advice/processes suggested in this podcast, for example due to resource availability.

While efforts are made to ensure accuracy, medicine is a constantly evolving field, and no guarantee is made regarding the completeness, accuracy, or timeliness of the information presented.

By listening to this podcast, you acknowledge and agree that the hosts, guests, producers, affiliated organizations and the Irish College of GPs are not liable for any direct or indirect consequences resulting from the use of the information provided.