Why are the new recommendations targeting the brain?

High blood pressure is not only the “silent killer” why new recommendations targeting brain? of the heart. For example, it is also one of the main threats to our brain health. Furthermore, Good tension. Meanwhile, well mastered, not only makes it possible to avoid stroke and infarction, but also to preserve our memory, our concentration, our long -term autonomy.

In August 2025. Furthermore, the American Heart Association (AHA) and the American College of Cardiology (ACC), in partnership with eleven other medical companies, updated their 2017 recommendations. Similarly, Published in the Journal of the American College of Cardiology (Jacc). Nevertheless, these guidelines take advantage of the most recent data to refine the prevention and care of HTA.

They pay new attention to the impact of HTA on cognitive functions. Furthermore, dementia, strengthen screening strategies, recommend self -mode at home … In addition, and argue for a multidisciplinary and personalized approach. Complete look, in a human light.

HTA: an insidious cerebral why new recommendations targeting brain? threat

These new recommendations emphasize the capital role of blood pressure as a major modifiable factor. capable of triggering cardiovascular diseases and neurological disorders:

And whatever the source, the figures are unequivocal: controlling its tension can reduce the risk of stroke by 40 %, by 25 % that of myocardial infarction, by 60 % the risks of heart failure … and help prevent cognitive degeneration.

Voltage objective: <130/80 mm hg, without compromise – Why new recommendations targeting brain?

The new guidelines now target blood pressure less than 130/80 mm Hg for all adults, except in the event of particular fragility or limited life expectancy.

For people with pre-hypertension (130–139/80–89 mm Hg). at low cardiovascular risk, 3 to 6 months of lifestyle are favored before considering drug treatment. Conversely, in case of high stadium hypertension (≥ 140/90 mm HG), the use of a drug combination from the start is encouraged.

Hypertension: prevent, detect, monitor!

Home self -measurement. precautions

One of the striking contributions of recommendations 2025: the measurement of the tension must be done in a calm environment. Any distraction (smartphones, televisions) are banished during self -mode. This detail, apparently trivial, reflects the importance given to the rigor of the diagnosis.

Expanded screening. full evaluation

These recommendations give way to a systematic evaluation, including the dosage of the albumin/creatinine relationship (for kidney health) and the aldosterone/renin ratio (to detect primary aldosteronism), now recommended in many hypertensive, including those with sleep apnea.

Global, adapted and multidisciplinary management

Impossible to manage HTA in its corner. The directives highlight teamwork (doctors. nurses, pharmacists, dietitians, community health assistants) to lift the brakes on care, improve observance, offer coordinated intervention.

The Prevent ™ calculator. integrated into the new recommendations, makes it possible to precisely assess the cardiovascular why new recommendations targeting brain? risk at 10 or 30 years, by combining cardiovascular, renal and metabolic data. It then makes it possible to guide therapeutic decisions from prevention or when treatment becomes necessary.

Clinical specificities: pregnancy, fragility, comorbidities

Pregnancy: Gestational HTA has lasting consequences. The guidelines recommend the initiation of treatment from 140/90 mm Hg. and attentive postpartum monitoring, as well as reasoned use of low-dose aspirin for certain patients.

Adults at risk (diabetes, obesity, kidney disease, etc.): A more aggressive approach is justified. often with a double drug therapy (combined tablet), or even GLP – 1 in overweight/obese hypertensive.

Fragile seniors: The recommendations offer personalized adaptation to avoid the undesirable effects of too low tension such as falls. kidney failure, etc.

And in France, what do we do?

These recommendations. effective, precise and focused on long -term prevention, echo those of the European why new recommendations targeting brain? Cardiology Society but bring an unprecedented focus on the protection of the brain.

For France, the challenge is twofold: to publicize these optimized objectives (<130/80 mm HG), to strengthen self -measurement well conducted and encourage teamwork and the complete assessment of hypertensive. A lever to better prevent stroke, dementia and cognitive degradation, living longer and more serenely.

NAMELY

The Dash diet (Dietary Approaches to Stop Hypertension). rich in fruits, vegetables, dairy products poor in fat and low in sodium, has proven its effectiveness: it can lower blood pressure from 8 to 14 mmHg (NHLBI, United States).