Table 1.
Comparison of Hypertension Guidelines 2011–2014
| NICE 20115 | ESH/ESC 20133 | ASH/ISH 20142 | AHA/ACC/CDC 20134 | 2014 Hypertension Guidelines, US JNC 81 | |
|---|---|---|---|---|---|
| Definition of hypertension | ≥140/90 and daytime ambulatory BP (or home BP) ≥135/85 | ≥140/90 | ≥140/90 | ≥140/90 | Not addressed |
| Drug therapy in low‐risk patients after nonpharmacologic treatment | ≥160/100 or daytime ambulatory BP ≥150/95 | ≥140/90 | ≥140/90 | ≥140/90 |
<60 y ≥140/90 ≥60 y ≥150/90 |
| β‐Blockers as first‐line drug | No (Step 4) | Yes | No (Step 4) | No (Step 3) | No (Step 4) |
| Diuretic | Chlorthalidone, indapamide | Thiazides, chlorthalidone, indapamide | Thiazides, chlorthalidone, indapamide | Thiazides | Thiazides, chlorthalidone, indapamide |
| Initiate drug therapy with 2 drugs | Not mentioned | In patients with markedly elevated BP | ≥160/100 | ≥160/100 | ≥160/100 |
| BP targets |
<140/90 ≥80 y <150/90 |
<140/90 Elderly patients <80 y: systolic BP <140 in “fit” systolic BP <150 in “fragile” elderly ≥80 y: systolic BP 140–150 |
<140/90 ≥80 y <150/90 Young adults: Consider <130/80 if tolerated |
<140/90 Lower targets may be appropriate in some patients, including the elderly |
<60 y <140/90 ≥60 y <150/90 |
| BP targets in patients with diabetes mellitus or chronic kidney disease | Not addressed | <140/85 | <140/90 | <140/90 Lower targets may be considered | <140/90 |
Abbreviations are listed in Table 1. Blood pressure (BP) values are expressed in mm Hg. Adapted from Lindholm LH, Carlberg B. Hypertension News 2014, Opus 35 (International Society of Hypertension).