The radical new US hypertension guidelines, released 3 years after the previous scientific statement, have implications far beyond their intended recipients. They include a new definition for hypertension, lower treatment targets, and extended guidance on the implementation of multidisciplinary care, including self-monitoring of blood pressure. Some recommendations are likely to generate controversy.
R.J.M. is funded by an NIHR Professorship (NIHR-RP-R2-12-015) and the NIHR Oxford CLAHRC.