{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The GP Podcast","title":"Hypertension – Update from ESC HTN Guidelines 2024","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/0ba5234f\"></iframe>","width":"100%","height":180,"duration":1857,"description":"Participants\nDr David McConaghy, Irish College of GPs Clinical Lead in Prevention; Member of HSE Team on Integrated Care Programme for Chronic Disease\nDr John Maher - Host\n\nSummary\nThis conversation reviews the management of hypertension in primary care, in light of recently-published ESC 2024 guidelines. We discuss:\nupdated blood pressure targets and the potential implications for blood pressure diagnosis and management in primary care;\nthe shift towards first-line combination therapy, for potentially improved patient outcomes;\nthe role of risk assessment tools such as QRISK3 to guide management;\nthe importance of lifestyle changes.\n\nWe 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.\n \nTakeaways\nHypertension is a leading cause of morbidity and mortality.\nThe new target for blood pressure is under 130/80 mmHg.\nElevated blood pressure is now defined as 120/70 mmHg.\nCombination therapy is preferred over monotherapy for hypertension.\nAudits can improve hypertension management in general practice.\nLifestyle changes are essential for managing hypertension.\nQRISK3 is a useful tool for cardiovascular risk assessment.\nAnnual ECG and ABPM are recommended for patients with established hypertension.\nReferral to secondary care is necessary for resistant hypertension.\nProactive management can significantly reduce cardiovascular events.\n\nLinks\n1.    Guidelines for the management of elevated blood pressure and hypertension 2024 - European Society of Cardiology\n2.    Primary prevention of cardiovascular disease in primary care - Forum September 2025, Irish College of GPs\n3.    HSE Opportunistic case finding - 1st Report\n4.    Structured Chronic Disease Management Treatment Programme - 3rd Report\n5.    QRISK3 Online Calculator\n6.    SCORE2 Online Calculator (MDCalc)\nDisclaimer\nThe information provided in this podcast is for...","thumbnail_url":"https://img.transistorcdn.com/y2EoxHzUIjVYJ3OYuZDyKEUt5A0vOFWgd_rZpd9a_No/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9jMDYx/ZTU3NGE1OGUzMmQ2/YWYxYzU5NTZiMmY1/Njc2YS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}