The new International Guidelines On Hypertension Recommend Two Main Treatment Groups

Unlike detailed recommendations from other professional societies, ISH tries to keep theirs broadly applicable. For example, the goal for essential care for all is 140/90 mm Hg, while in areas able to provide optimal care, the goal is under 130/80 mm Hg. 

• ISH guidelines split care into essential vs optimal treatment tiers.
• Essential BP goal: <140/90 mm Hg; optimal goal: <130/80 mm Hg.
• High-risk HTN: start medication immediately; low-risk: 3 months lifestyle first.
• “Elevated BP” replaces “high-normal”; hypertension remains ≥140/90 mm Hg.
• Standardized 7-day home BP preferred; cuffless devices not for clinical decisions.