Global hypertension burden
Hover over any country on the map to see that region's latest hypertension statistics
2025 AHA/ACC guideline — key updates
AHA/ACC · August 2025
Core changes reshaping hypertension management
Jones DW et al. J Am Coll Cardiol / Circulation / Hypertension. 2025
PREVENT calculator replaces pooled cohort equations
Integrates cardiovascular, renal, and metabolic health — eGFR, BMI, statin use, social determinants. Race no longer a determinant, addressing global equity concerns.
NewRisk-based medication initiation thresholds
Pharmacotherapy at BP ≥130/80 for CVD, diabetes, CKD, or 10-year CVD risk ≥7.5% via PREVENT. Without these factors: threshold remains ≥140/90.
RevisedRenal denervation — Class IIb adjunctive option
RDN endorsed for select resistant hypertension patients. Requires multidisciplinary evaluation and shared decision-making. Follows ESC/ESH global endorsement.
NewPrimary aldosteronism screening expanded
Screening for all stage 2 and resistant HTN patients. Significantly underdiagnosed secondary cause worldwide, particularly in LMICs.
ExpandedExpanded special population guidance
Revised guidance for CKD, diabetes, pregnancy, intracerebral hemorrhage, and hypertensive emergencies — applicable across global care settings.
ExpandedDrug pipeline — resistant & uncontrolled hypertension
Baxdrostat
Aldosterone synthase inhibitor · AstraZeneca · Global Phase III
Systolic reduction
−9.7 mmHg
vs. placebo delta
~−6 mmHg
International Phase III BaxHTN trial met all endpoints in resistant/uncontrolled HTN. PDUFA Q2 2026. Presented ESC Congress 2025; simultaneously published NEJM.
Flack JM et al. N Engl J Med. 2025;393:1363–1374 · Full trial review ↗
Lorundrostat
Aldosterone synthase inhibitor · Mineralys Therapeutics
24-hr BP lowering
Significant
ADVANCE-HTN Phase 2b (ACC 2025): effective 24-hr BP reduction in treatment-resistant HTN, low hyperkalemia incidence. NDA filing Q4 2025–Q1 2026.
ADVANCE-HTN · ACC Scientific Sessions, March 2025 · Read analysis ↗
CME modules
2025 guideline: what changed
Global HTN burden & equity gaps
Applying PREVENT in practice
Renal denervation: patient selection
Resistant HTN & aldosteronism
Latest from the journals
NEJM · Aug 2025
Efficacy and safety of baxdrostat in resistant hypertension
Lancet · Nov 2025
WHO global report on hypertension 2025 — urgent action agenda
JACC · Mar 2026
Global HTN trends 2000–2020: 83% uncontrolled in LMICs
Lancet · Feb 2026
New drug therapies for hypertension — emerging classes globally
WHO 80×80×80 target
By 2030, the World Hypertension League targets: 80% diagnosed, 80% treated, 80% with controlled BP.
Current global control rate
19.7% — substantial gap to 2030 target