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Semergen. 2019 May - Jun;45(4):251-272. doi: 10.1016/j.semerg.2019.02.003. Epub 2019 Apr 18.

[Positioning for the management of arterial hypertension in Primary Care from the critical analysis of the American (2017) and European (2018) guidelines. Spanish Society of Primary Care Physicians (SEMERGEN)].

[Article in Spanish]

Author information

Unidad de Vigilancia de la Salud, Unión de Mutuas, Castellón, España; Departamento de Medicina, Universitat Jaume I, Castellón, España. Electronic address:
Centro de Salud Casas Ibañez, Casas Ibáñez, Albacete, España; Cátedra de Medicina de Familia SEMERGEN, Universidad Católica San Antonio de Murcia, Murcia, España. Electronic address:
Centro de Salud Vallobín-La Florida, Oviedo, España.
Centro de Salud de Vícar, Vícar, Almería, España.
Centro de Salud Acequión, Torrevieja, Alicante, España.
Centro de Salud Casas Ibañez, Consultorio Balsa de Ves, Balsa de Ves, Albacete, España.
Centro de Salud de Nájera, Nájera, La Rioja, España.
Centro de Salud A Estrada, A Estrada, Pontevedra, España.
Cátedra SEMERGEN, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España; Centro de Salud Porto do Son, Porto de Son, A Coruña, España.
Centro de Salud Suerte de Saavedra, Badajoz, España.
Servicio de Nefrología, Hospital Clínico de Valencia, Valencia, España; Departamento de Medicina, Facultad de Medicina, Universidad de Valencia, Valencia, España.
Centro de Salud Sillería, Toledo, España.
Centro de Salud Casar de Cáceres, Casar de Cáceres, Cáceres, España.
Centro de Salud de Trujillo, Trujillo, Cáceres, España.
CAP Premià, Premià de Mar, Premià de Mar, Barcelona, España.
Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España.


The Scientific Societies of Primary Care, being the area in which there is a considerable prevalence of Arterial Hypertension (AHT), need to periodically evaluate the international guidelines for its management. This is particularly relevant when disparate guidelines make it difficult to make decisions in daily clinical practice. The present document has as its aim to analyse the changes and new developments proposed in the guidelines of the American College of Cardiology and the American Heart Association (ACC/AHA 2017), as well as in the guidelines of the European Society of Cardiology and European Society of Hypertension (ESC/ESH 2018). An analysis will be made of any differences, limitations, and their applicability to Primary Care in Spain. Finally, the most relevant available and appropriate information is extracted and integrated in order to homogenise the care of the hypertensive patient, from a critical, but also a reasoned, perspective. The discrepancies between the recommendations in such essential aspects as the management of the disease, require the compiling and critical analysis of the information that enables us as scientific society, interested in providing all PC physicians with the most relevant, and at the same time, sensible, recommendations of all the guidelines.


Atención primaria; Blood pressure; Blood pressure measurement; Blood pressure treatment thresholds and targets; Guidelines; Guías; Hipertensión; Hipertensión y comorbilidades; Hypertension; Hypertension and comorbidities; Lesión órgano diana; Medida de la presión arterial; Presión arterial; Primary care; Target organ damage; Tratamiento; Tratamiento de la presión arterial y objetivos; Treatment

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