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  • Editors Page

    By Costas Tsioufis (Athens) and Mark Caulfield (London)


    Hot Issues in Hypertension

    The ESH web Editor meets the world experts in hypertension.

    ​We invite you to follow a series of interviews by ESH web Editor Costas Tsioufis with world experts in hypertension​.

    The interviews on Hot Issues in Hypertenson​ will cover academic hot topics, areas of expertise​ in hypertension​, and also social topics​ ​​such as ​​the impact of ​hypertension on the public health.​ ​

    The second interview : An interview with Anna Dominiczak is now available!


    Overview of the ESH-ISH Joint Meeting 2014

    The European Society of Hypertension (ESH) and International Society of Hypertension (ISH) Joint Meeting was successfully held in Athens between 13th and 16th June 2014. Close to 5,000 delegates of different medical specialties (cardiology, internal medicine, general medicine, nephrology, endocrinology, and diabetology) converged to the meeting and interestingly one third of them being from non-European countries. 

    The scientific program covered a wide range of hypertension topics from epidemiology to therapeutics, and specifically reviewed the current evidence on out-of-office blood pressure measurement, blood pressure variability, and resistant hypertension management. Different sessions were focused on updated data regarding the techniques and clinical applicability of the renal sympathetic denervation and critically assessed the impact of the Symplicity HTN-3 results on future clinical practice and research. During the meeting more than 2,200 original abstracts were presented (363 as oral communications and 1,909 as attended posters) from all over the world. The top ten countries contributing to the abstracts' based scientific program were the following: Russia, Greece, Italy, Japan, Spain, China, South Korea, Ukraine, Argentina, and Poland.

    Read more...

  • From the ESH President

    Welcome to the website of the European Society of Hypertension (ESH), leader in the field of hypertension and cardiovascular prevention. Founded in 1989, the Society is committed to excellence in research, education and clinical practice in hypertension and cardiovascular prevention with the aim of reducing hypertension-induced morbidity and mortality. The activities of the Society are presented here, allowing visitors to consult our most recent guidelines, working documents, meetings, activities and programmes. Using the available online tools, rapid access to these resources can be achieved. Likewise, updated information as well as learning materials are available.  

    Members of the ESH Scientific Council developed the Hypertension Specialist Programme and the Network of Centres of Excellence. Both of these initiatives contribute well to our main aims and objectives as listed above. There are currently 991 Hypertension Specialists and 158 Centres of Excellence.

    More recently we have developed a new programme for National Hypertension Societies to develop a closer affiliation or association with the ESH. We currently have 32 affiliated and 3 associated with the ESH National Societies.

    If you are a member of the ESH, please enjoy all the materials at your disposal across all areas of our Website. If not, please join the ESH to help us develop further excellence in hypertension.

     

    Anna Dominiczak
    ESH President

  • Current News

    Prognostic implications of orthostatic hypotension

    D.L. Clement, University of Gent, Belgium

    Orthostatic hypotension is a disturbing entity that did not much attract interest of hypertension experts. Its causes are largely linked to a malfunctioning of the blood pressure regulation systems; this can be secondary to diabetes, some antihypertensive drugs (mainly the older drugs) but in many cases  the real causes are unknown. In any way, it is seen much more often in elderly people and can lead to syncope and traumata linked to the syncope. However, it is unknown to what extent it influences long term prognosis.

    Dutch investigators (1) have examined a group of 313 patients with orthostatic hypotension and a mean age of 78 years. The authors carefully examined whether orthostatic hypotension, postprandial hypotension and carotid sinus could be clustered but this was not the case. Subsequently they looked at prognostic implications of orthostatic hypotension and for his purpose organised a mean follow up of 23 months.

    Surprisingly there was no significant correlation between the systolic blood pressure drop and prognosis. By contrast, this was clearly the case for diastolic blood pressure with a hazard ratio of 2.5 and 95% CI of 1.20 to 5.22.

    This paper quite clearly has pointed toward the many unknown aspects of orthostatic hypotension. There is no real explanation why there is no prognostic value in the systolic blood pressure drop in such patients, as one would expect that the systolic drop would cause most of the problems in the perfusion of the brain and other organs. Maybe diastolic pressure drop, seen much less frequently is a more advanced stage of the disease and therefore correlates better with long-term prognosis. This nice paper should stimulate blood pressure experts to set up more research on this entity that strongly decreases the quality of life in many elderly patients.

    Reference

    1. Diastolic blood pressure drop after standing. Lagro J. et al. J. Hypertension: 2012: 30: 1195-1202.