{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:24:20Z","timestamp":1774520660193,"version":"3.50.1"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T00:00:00Z","timestamp":1628294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To explore the management of hypertensive patients by general cardiologists a few months after the European Society of Cardiology (ESC)\u2013European Society of Hypertension (ESH) Guidelines publication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>A survey based on a 26-point questionnaire was sent to \u223c69 000 worldwide ESC members, a few months after the ESC\u2013ESH Guidelines publication. A total of 1458 responses were collected via a web-based form. Among them, 68% were men, 48% were below 45 years old, and 60% were from Europe. Current guidelines have been read, at least partially, by 92.8%. Measurement of blood pressure (BP) is mostly done using the auscultatory method (58.8%) while unattended BP is rarely performed. Different bladder cuffs are not available for different arm circumferences for 27% of responders. Routine workup in hypertensive patients includes more often 12 leads ECG (97.7%) and echocardiography (79.6%). Only 30.9% of responders systematically assess the cardiovascular risk by the SCORE system and orthostatic hypotension is systematically researched by only 39.1%. Respondents consider that BP target of 140\/90 mmHg is achievable in 60\u201380% of patients and 130\/80 mmHg in 40\u201360%. Guidelines are considered too tight to be achievable by 15.6%, while 77.4% consider they are exactly right. Low patient\u2019s compliance, awareness of hypertension (HT) risk, and, at a lower degree, physician inertia, represent the main treatment challenges in reaching BP goals to most respondents, while treatment effectiveness is not in question. The present survey demonstrates specific gaps in HT management that need attention in clinical practice.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjopen\/oeab013","type":"journal-article","created":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T19:01:39Z","timestamp":1628362899000},"source":"Crossref","is-referenced-by-count":3,"title":["Survey on arterial hypertension management: a report from the ESC Council for Cardiology Practice and the ESC Council on Hypertension"],"prefix":"10.1093","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6690-1408","authenticated-orcid":false,"given":"Costantino","family":"Mancusi","sequence":"first","affiliation":[{"name":"Hypertension Research Center, Federico II University Hospital , Naples,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8567-9881","authenticated-orcid":false,"given":"Giovanni","family":"de Simone","sequence":"additional","affiliation":[{"name":"Hypertension Research Center, Federico II University Hospital , Naples,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2273-7228","authenticated-orcid":false,"given":"Riccardo","family":"Asteggiano","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Insubria, ASST-Settelaghi , Varese,","place":["Italy"]},{"name":"LARC (Laboratorio Analisi e Ricerca Clinica) , Turin,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitri","family":"Richter","sequence":"additional","affiliation":[{"name":"Euro Clinic Hospital , Athens,","place":["Greece"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Williams","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular Sciences, University College London , London,","place":["UK"]},{"name":"National Institute for Health Research, University College London Hospitals Biomedical Research Centre , London,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2595-2433","authenticated-orcid":false,"given":"Marc","family":"Ferrini","sequence":"additional","affiliation":[{"name":"CH Saint Joseph et Saint Luc , 55 rue Vendome , Lyon 69006,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,7]]},"reference":[{"key":"2024120318575894200_oeab013-B1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0140-6736(16)31919-5","article-title":"Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19\u00b71 million participants","volume":"389","author":"NCD Risk Factor Collaboration (NCD-RisC)","year":"2017","journal-title":"Lancet"},{"key":"2024120318575894200_oeab013-B2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1001\/jama.2016.19043","article-title":"Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990\u20132015","volume":"317","author":"Forouzanfar","year":"2017","journal-title":"JAMA"},{"key":"2024120318575894200_oeab013-B3","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1093\/eurheartj\/ehy339","article-title":"2018 ESC\/ESH Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension","volume":"39","author":"Williams","year":"2018","journal-title":"Eur Heart J"},{"key":"2024120318575894200_oeab013-B4","doi-asserted-by":"crossref","first-page":"3007","DOI":"10.1093\/eurheartj\/ehy439","article-title":"Ten commandments of the 2018 ESC\/ESH HTN guidelines on hypertension in adults","volume":"39","author":"Williams","year":"2018","journal-title":"Eur Heart J"},{"key":"2024120318575894200_oeab013-B5","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1186\/s12874-020-01014-x","article-title":"A randomized trial of mail and email recruitment strategies for a physician survey on clinical trial accrual","volume":"20","author":"Murphy","year":"2020","journal-title":"BMC Med Res Methodol"},{"key":"2024120318575894200_oeab013-B6","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.2196\/jmir.8561","article-title":"Effect of recruitment methods on response rate in a web-based study for primary care physicians: factorial randomized controlled trial","volume":"20","author":"So","year":"2018","journal-title":"J Med Internet Res"},{"key":"2024120318575894200_oeab013-B7","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.2196\/jmir.7.1.e6","article-title":"Challenges of internet recruitment: a case study with disappointing results","volume":"7","author":"Koo","year":"2005","journal-title":"J Med Internet Res"},{"key":"2024120318575894200_oeab013-B8","doi-asserted-by":"crossref","first-page":"228","DOI":"10.3109\/08037051.2015.1134086","article-title":"Automated compared to manual office blood pressure and to home blood pressure in hypertensive patients","volume":"25","author":"Filipovsk\u00fd","year":"2016","journal-title":"Blood Press"},{"key":"2024120318575894200_oeab013-B9","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1097\/HJH.0b013e3283435b65","article-title":"Blood pressure measurement in very obese patients: a challenging problem","volume":"29","author":"Palatini","year":"2011","journal-title":"J Hypertens"},{"key":"2024120318575894200_oeab013-B10","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1111\/jch.13301","article-title":"Cuff challenges in blood pressure measurement","volume":"20","author":"Palatini","year":"2018","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"2024120318575894200_oeab013-B11","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1161\/HYPERTENSIONAHA.116.07474","article-title":"Orthostatic hypotension in the ACCORD (action to control cardiovascular risk in diabetes) blood pressure trial: prevalence, incidence, and prognostic significance","volume":"68","author":"Fleg","year":"2016","journal-title":"Hypertension"},{"key":"2024120318575894200_oeab013-B12","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1001\/jamainternmed.2017.2937","article-title":"Association of history of dizziness and long-term adverse outcomes with early vs later orthostatic hypotension assessment times in middle-aged adults","volume":"177","author":"Juraschek","year":"2017","journal-title":"JAMA Intern Med"},{"key":"2024120318575894200_oeab013-B13","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1161\/HYPERTENSIONAHA.119.14309","article-title":"Orthostatic hypotension, cardiovascular outcomes, and adverse events: results from SPRINT","volume":"75","author":"Juraschek","year":"2020","journal-title":"Hypertension"},{"key":"2024120318575894200_oeab013-B14","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1161\/CIRCRESAHA.116.303755","article-title":"Clinical value of ambulatory blood pressure: evidence and limits","volume":"116","author":"Mancia","year":"2015","journal-title":"Circ Res"},{"key":"2024120318575894200_oeab013-B15","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1161\/HYPERTENSIONAHA.118.12740","article-title":"Nighttime blood pressure measured by home blood pressure monitoring as an independent predictor of cardiovascular events in general practice","volume":"73","author":"Kario","year":"2019","journal-title":"Hypertension"},{"key":"2024120318575894200_oeab013-B16","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1097\/HJH.0000000000000070","article-title":"Overall cardiovascular prognosis of isolated systolic hypertension, isolated diastolic hypertension and pulse pressure defined with home measurements: the Finn-home study","volume":"32","author":"Niiranen","year":"2014","journal-title":"J Hypertens"},{"key":"2024120318575894200_oeab013-B17","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.ijcard.2017.07.078","article-title":"Adding markers of organ damage to risk score models improves cardiovascular risk assessment: prospective analysis of a large cohort of adult outpatients","volume":"248","author":"Tocci","year":"2017","journal-title":"Int J Cardiol"},{"key":"2024120318575894200_oeab013-B18","doi-asserted-by":"crossref","first-page":"j1797","DOI":"10.1136\/bmj.j1797","article-title":"Physician age and outcomes in elderly patients in hospital in the US: observational study","volume":"357","author":"Tsugawa","year":"2017","journal-title":"BMJ"},{"key":"2024120318575894200_oeab013-B19","first-page":"324","article-title":"Physician role in lack of awareness and control of hypertension","volume":"2","author":"Hyman","year":"2000","journal-title":"J Clin Hypertens"}],"container-title":["European Heart Journal Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjopen\/advance-article-pdf\/doi\/10.1093\/ehjopen\/oeab013\/40075778\/oeab013.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjopen\/article-pdf\/1\/2\/oeab013\/60913213\/oeab013.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjopen\/article-pdf\/1\/2\/oeab013\/60913213\/oeab013.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T19:01:13Z","timestamp":1733252473000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjopen\/article\/doi\/10.1093\/ehjopen\/oeab013\/6345344"}},"subtitle":[],"editor":[{"given":"Thomas","family":"Kahan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2021,8,7]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,9,8]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjopen\/oeab013","relation":{},"ISSN":["2752-4191"],"issn-type":[{"value":"2752-4191","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,9,1]]},"published":{"date-parts":[[2021,8,7]]},"article-number":"oeab013"}}