Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults Source: American College of Cardiology, American Heart Association; Medically Reviewed by Dr Shouvik Haldar

https://reference.medscape.com/cc2/p10/guideline-aha-acc-detect-manage-high-blood-pressure-2026a10008xo?ecd=mkm_ret_260716_mscpmrk-OUS_BO_etid8502080&uac=148436CN&impID=8502080 In 2025, the AHA and the ACC updated their guidance on high BP management in adults. This was developed with, and endorsed by, the American Academy of Physician Associates, the American Association of Nurse Practitioners, the American College of Clinical Pharmacy, the American College of Preventive Medicine, the American Geriatrics Society, the American Medical Association, the American Society for Preventive Cardiology, the Association of Black Cardiologists, the National Medical Association, the Preventive Cardiovascular Nurses Association, and the Society of General Internal Medicine. This guideline summary for specialists and generalists covers BP classification, lifestyle interventions, pharmacological treatment thresholds, antihypertensive medication choice, and management of hypertension in patients with comorbidities and special populations. It also covers screening for secondary causes of hypertension, classification of primary aldosteronism, and medical management approaches for renal artery stenosis and OSA. It does not cover recommendations on patients scheduled for surgical procedures, and evidence gaps and future directions. Please refer to the full AHA/ACC guideline for all recommendations, rationale, and background information. A list of abbreviations can be found at the end of this summary.