Hypertension in adults: updated NICE guidelines 2019 October

  • Discuss treatment with people with stage 1 hypertension and a 10 year
    risk for cardiovascular disease ≥10%
  • Choice of antihypertensive drug treatment should take into account patient preferences; a new decision aid has been produced to support this
  • Consistently maintain blood pressure below target, rather than aim for a target
  • Existing blood pressure targets have not been lowered; the benefits and harms of lowering them could not be fully determined from current evidence
  • Asymptomatic, severe hypertension (≥180/120 mmHg) does not require same day specialist review, but investigations for target organ damage should be carried out as soon as possible
  • The guideline now makes recommendations for people with type 2 diabetes