{"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":"","width":"100%","height":180,"duration":1857,"description":"ParticipantsDr David McConaghy, Irish College of GPs Clinical Lead in Prevention; Member of HSE Team on Integrated Care Programme for Chronic DiseaseDr John Maher - HostSummaryThis 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. TakeawaysHypertension 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.Links1.    Guidelines for the management of elevated blood pressure and hypertension 2024 - European Society of Cardiology2.    Primary prevention of cardiovascular disease in primary care - Forum September 2025, Irish College of GPs3.    HSE Opportunistic case finding - 1st Report4.    Structured Chronic Disease Management Treatment Programme - 3rd Report5.    QRISK3 Online Calculator6.    SCORE2 Online Calculator (MDCalc)DisclaimerThe information provided in this podcast is for educational and informational...","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}