¿Debemos modificar nuestra conducta terapéutica como consecuencia de la revisión de 2009 de la guía para el manejo de la hipertensión arterial de la ESH/ESC?

The presentation of a frequently appearing clinical case, as a hypertensive and diabetic female patient >65 years old, provides us the opportunity to analyze and interpret new recommendations, in comparison to the previous ones and to establish the best clinical action approach in the daily practice. In addition to the changes in the management of diabetic patients, some especially relevant aspects of the revised guide are updated, for example, subclinical injury of the target organ and its affect on cardiovascular risk stratification, how to manage those patients with high normal blood pressure values and other cardiovascular risk factors, the “new” blood pressure goals, as well as the objectives and the treatments under specific conditions such as the elderly population and the associated cardiovascular disease.