A Trans-Atlantic Perspective on the 2025 AHA/ACC Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

for Preventive Cardiology Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults 1 represent the first major update since 2017, incorporating new evidence and offering updated recommendations for high blood pressure (BP) management.These US guidelines closely follow 2 distinct European updates: the 2023 European Society of Hypertension (ESH) 2 and the 2024 European Society of Cardiology (ESC) 3 guidelines.Whereas all 3 aim to reduce hypertension-related morbidity and mortality by recommending evidence-based care, there are important differences.