Why the study?
The 2024 ESC guidelines revised office BP classification below the hypertension threshold, but data on the impact of these changes on primary care practice were limited.
Does applying the 2024 ESC guidelines alter office blood pressure classification and target achievement compared to 2018 guidelines in primary care patients?
Population
882 individuals aged 18 years or older registered at a family health center in Izmir
Comparison
2024 ESC guidelines vs 2018 ESC/ESH guidelines
Design
Retrospective cross-sectional study
Key result
Applying the 2024 ESC guidelines reduced the proportion of patients with non-elevated blood pressure from 70.5% to 17.1% compared to the 2018 criteria.
Authors
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Reclassifies office BP in primary care patients per 2024 ESC; leaves open effects on risk-based management decisions.
Cross-Sectional (n=882)
No
Does applying the 2024 ESC guidelines alter office blood pressure classification and target achievement compared to 2018 guidelines in primary care patients?
Absolute Event Rate: 17.1% vs 70.5%
The implementation of the 2024 ESC guidelines significantly increases the proportion of patients classified with elevated blood pressure and decreases the rate of target achievement compared to the 2018 guidelines, likely impacting primary care workload.
Çifçi et al. (2026) conducted a cross-sectional in Hypertension and elevated blood pressure (n=882). 2024 ESC guidelines vs. 2018 ESC/ESH guidelines was evaluated on change in office BP classification (proportion with non-elevated BP). Applying the 2024 ESC guidelines reduced the proportion of patients with non-elevated blood pressure from 70.5% to 17.1% compared to the 2018 criteria.