In this video, Prof. Remo H. M. Furtado provides an essential overview of the five key takeaways from the 2025 Brazilian Guidelines on Hypertension. These critical updates will help shape clinical practice for better patient management and improved cardiovascular outcomes.

The 5 key points covered are:

• How to Define High BP: Understand the updated classifications for blood pressure, including Normal, Elevated, and Stages 1, 2, and 3 Hypertension, to ensure accurate diagnosis.
• The Importance of Home Monitoring (HBPM): The guidelines place a strong emphasis on using Home Blood Pressure Monitoring (HBPM) or Ambulatory Blood Pressure Monitoring (ABPM) to confirm a diagnosis and effectively monitor treatment. This helps identify conditions like white-coat and masked hypertension.
• Cardiovascular Risk Stratification: A major focus is on assessing a patient's complete cardiovascular risk profile. The guidelines recommend using tools like the PREVENT score to stratify individuals into risk categories, which is crucial for guiding the initiation and intensity of antihypertensive therapy.
• The New BP Target: The guidelines now recommend a universal blood pressure target of < 130/80 mmHg for patients with hypertension, regardless of their cardiovascular risk level, to more aggressively reduce the risk of complications.
• The Power of Combination Therapy: To achieve strict BP targets, the guidelines strongly recommend initiating treatment with a combination of medications, preferably in a single-pill combination. This strategy is proven to increase adherence, control, and reduce cardiovascular and renal events.

Watch the full video for an expert summary of how to apply these important new guidelines in your clinical practice.