Overview

• Readings of 120–139/80–89 mmHg are now classified as pre‑hypertension, while hypertension diagnosis remains at ≥140/90 mmHg.
• All patients with hypertension should now target blood pressure below 130/80 mmHg, with clinicians individualizing goals when intensive lowering is not tolerated.
• Lifestyle measures are advised for those at 12/8, with medication indicated for ≥140/90 or for 130–139/80–89 after three months if 10‑year cardiovascular risk is high.
• The guideline incorporates the PREVENT risk score to tailor treatment intensity beyond blood‑pressure thresholds.
• A new SUS chapter outlines primary‑care protocols, access to single‑pill two‑drug combinations and MAPA/MRPA monitoring, and it adds women‑specific guidance on contraception, pregnancy‑safe drugs and follow‑up around menopause.