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New blood pressure guidelines recommend skipping alcohol and an earlier start to treatment

New guidelines advise early medication and lifestyle changes to lower blood pressure below 130 mm Hg, aiming to reduce risks of heart attack, stroke, dementia, and pregnancy complications.

  • On Thursday, the American Heart Association and the American College of Cardiology published new guidelines recommending abstaining from alcohol and earlier treatment initiation.
  • This marks the first update to the guideline since 2017, as high blood pressure affects nearly half of U.S. adults.
  • Using the PREVENTTM risk calculator, the guideline endorses it and recommends a <130 mm Hg systolic blood pressure goal to prevent cognitive decline and dementia.
  • The guideline aims to support clinicians in managing blood pressure earlier and empowers patients with practical tools for lifestyle changes and medication use.
  • Prevention and management of high blood pressure support long-term heart and brain health, potentially reducing dementia risk, according to the American Heart Association.
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Medscape broke the news in United States on Thursday, August 14, 2025.
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