How Well Do You Know the New Hypertension Guidelines?
How Well Do You Know the New Hypertension Guidelines?
Source: AHA/ACC and partner societies. Issued: 2025
Medscape: December 9, 2025
Key Takeaways :
• Stage 2 hypertension requires immediate evaluation and escalation treatment.
• Secondary hypertension accounts for 5–25% of cases.
• OSA is common (up to 50%);
• Primary aldosteronism affects 5–10% and doubles cardiovascular risk versus primary hypertension.
• Aldosterone–renin ratio (ARR) is the preferred screening test; most medications usually do not need to be stopped.
• Hypokalemia may suggest aldosteronism but is often absent.
• Renal artery disease: Renovascular disease is common on imaging but rarely clinically relevant; no routine imaging recommended.
• RAS rarely causes true hypertension (0.1–5%).