NICE reduces threshold for starting hypertension treatment. 28 August, 2019 By Steve 20% CVD risk threshold for treatment recommended in NICE's previous hypertension guideline that dates back to 2011. The guidance also continues to use a blood pressure reading of 140/90mmHg and above as being the level used to define hypertension, noted NICE. The 2019 draft guidelines removed the recommendation from the previous guidelines saying that salt made from potassium instead of sodium could be used to lower salt intakes - and therefore help to lower blood pressure. Read the NICE guidelines: Hypertension in adults: diagnosis and management . Contact Us. Phone: General Enquiries: 020 7882 step treatment for hypertension discuss with the person if they are taking their medicine as prescribed and support adherence in line with NICE's guideline on medicines adherence. [2019] 1.4.43 If hypertension is not controlled in adults taking step 2 treatment, offer a combination of: an ACE inhibitor or ARB (see also recommendation 1.4.30 for December 2019 The new NICE Hypertension in adults: diagnosis and management guideline (NG136) was published in August 2019. Eight members of the guideline committee are Members or Fellows of the BIHS. The guideline scope limited the guidance to the management of people with raised Highlighting changes in the updated 2019 NICE guidance, this graphic shows the new recommendations for diagnosis and management of hypertension in adults, and in which ways the guidance has changed. Hypertension is a leading global cause of morbidity and mortality. More than 25% of the adult UK population has hypertension, and in about 30% blood pressure remains uncontrolled.1 In August, the National Institute for Health and Care Excellence (NICE) published its updated guideline on the diagnosis and management of hypertension. The guideline Following the impressive results of the SPRINT study published in 2015, 1 international hypertension guideline committees have gradually updated their advice. In 2017 the American College of Cardiology and American Heart Association (ACC/AHA) were the first to do so, 2 followed by the European Society of Cardiology and European Society of Hypertension (ESC/ESH) in 2018, 3 and most recently the Hypertension Canada's 2020 Comprehensive Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension in Adults and Children. May 1, 2020 . These guidelines address the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children, including new guidance on the 2018 ESC/ESH vs. 2019 NICE Hypertension Guideline The findings of the SPRINT study in 2015 resulted in an update of international hypertension guidelines. This includes the American College of Cardiology and American Heart Association (ACC/AHA) guidelines which were updated in 2017, the European Society of Cardiology and European Overview. This Guidelines summary covers identifying and treating primary hypertension (high blood pressure) in people aged 18 and over, including people with type 2 diabetes.It aims to reduce the risk of cardiovascular problems such as heart attacks and strokes by helping healthcare professionals to diagnose hypertension accurately and treat it effectively. The latest UK National Institute for Health and Clinical Excellence (NICE) guidance, published Aug 28, recommends that antihypertensives be offered to people younger than