{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T01:37:19Z","timestamp":1786498639987,"version":"build-2736575974"},"reference-count":86,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hypertension is the leading cardiovascular risk factor. However, despite the availability of safe and effective antihypertensive drugs, blood pressure (BP) control rates remain low worldwide. In this context, the recent European hypertension guidelines present an additional challenge by lowering the BP threshold for initiating pharmacological treatment to below 140\/90\u2005mmHg for selected high-risk patients and recommending that BP values be lowered to below 130\/80\u2005mmHg for most hypertensive patients. In this narrative review, we discuss the barriers to the implementation of guideline-defined standards of care in high-, low-, and middle-income countries and consider some possible solutions to improve this situation. We discuss strategies for detecting hypertension and monitoring its control, including new technologies and settings for BP measurement. Key issues related to the treatment of hypertension at the population level are also addressed, including lifestyle interventions, improving adherence to treatment, and organizational solutions, particularly for long-term follow-up of hypertensive patients. Finally, we identify key areas for future research into the implementation of hypertension care standards and attempt to suggest possible strategies that may be particularly relevant in the future, with the aim of improving global hypertension control rates and reducing the burden of its complications.<\/jats:p>","DOI":"10.1093\/eurjpc\/zwaf733","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T13:10:05Z","timestamp":1765285805000},"page":"1045-1057","source":"Crossref","is-referenced-by-count":4,"title":["Bridging the gap between hypertension guidelines and real-life practice: strategies and technological tools for improving long-term population blood pressure control"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5104-9176","authenticated-orcid":false,"given":"Grzegorz","family":"Bilo","sequence":"first","affiliation":[{"name":"Department of Medicine and Surgery, University of Milano-Bicocca , Piazza dell\u2019Ateneo Nuovo 1, 20126 Milan, Italy"},{"name":"Department of Cardiology, Istituto Auxologico Italiano, IRCCS, San Luca Hospital , Piazzale Brescia 20, 20149 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7081-4881","authenticated-orcid":false,"given":"Sofie","family":"Brouwers","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Aalst, AZORG Clinic Aalst , Aalst ,","place":["Belgium"]},{"name":"Department of Experimental Pharmacology, Vrije Universiteit Brussel , Brussels ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2098-1665","authenticated-orcid":false,"given":"Anastasios","family":"Kollias","sequence":"additional","affiliation":[{"name":"Third Department of Medicine, Hypertension Center STRIDE-7, National and Kapodistrian University of Athens, School of Medicine, Sotiria Hospital , Athens ,","place":["Greece"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-028X","authenticated-orcid":false,"given":"Richard J","family":"McManus","sequence":"additional","affiliation":[{"name":"Brighton and Sussex Medical School, University of Brighton and University of Sussex , Brighton, Sussex ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7124-2096","authenticated-orcid":false,"given":"Stefano","family":"Omboni","sequence":"additional","affiliation":[{"name":"Clinical Research Unit, Italian Institute of Telemedicine , Varese ,","place":["Italy"]},{"name":"Department of Cardiology, Sechenov First Moscow State Medical University , Moscow ,","place":["Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9217-4937","authenticated-orcid":false,"given":"Aletta E","family":"Schutte","sequence":"additional","affiliation":[{"name":"School of Population Health, University of New South Wales, The George Institute for Global Health , Sydney, NSW ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9402-7439","authenticated-orcid":false,"given":"Gianfranco","family":"Parati","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, University of Milano-Bicocca , Piazza dell\u2019Ateneo Nuovo 1, 20126 Milan, Italy"},{"name":"Department of Cardiology, Istituto Auxologico Italiano, IRCCS, San Luca Hospital , Piazzale Brescia 20, 20149 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"2026051513420470900_zwaf733-B1","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1097\/HJH.0000000000003480","article-title":"2023 ESH Guidelines for the management of 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