Hochdrucktherapie 2015

Abstract

With an prevalence of 32%, arterial hypertension remains on of the most common diseases among adults in Germany. The ESH/ESC-guidelines from 2013 and the corresponding pocket guidelines of the DHL ® /DGK from 2014 contain multiple modifications in diagnosis and therapy that are discussed in the present review. Target blood pressure recommendations have been simplified to <140/90mmHg for almost all hypertensive patients. Exceptions include: diabetic patients, elderly, and patients with chronic kidney disease and proteinuria. The recommentations for pharmacological antihypertensive therapy remained mainly unchanged. Critical evaluation of renal denervation in therapy resistant hypertension requires additional randomized controlled trials in Germany to finally assess the clinical relevance of this intervention. Currently, renal denervation does not provide an alternative strategy for an establihed pharmacological or non-pharmacological approach.