The 2017 American College of Cardiology/American Heart Association and 2018 European Society of Cardiology/European Society of Hypertension clinical practice guidelines for management of high blood pressure/hypertension are influential documents. Both guidelines are comprehensive, were developed using rigorous processes, and underwent extensive peer review. The most notable difference between the 2 guidelines is the blood pressure cut points recommended for the diagnosis of hypertension. There are also differences in the timing and intensity of treatment, with the American College of Cardiology/American Heart Association guideline recommending a somewhat more intensive approach. Overall, there is substantial concordance in the recommendations provided by the 2 guideline-writing committees, with greater congruity between them than their predecessors. Additional harmonization of future guidelines would help to underscore the commonality of their core recommendations and could serve to catalyze changes in practice that would lead to improved prevention, awareness, treatment, and control of hypertension, worldwide.

中文翻译：

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美国心脏病学会/美国心脏协会和欧洲心脏病学会/欧洲高血压学会血压/高血压指南的协调：比较、反思和建议

2017年美国心脏病学会/美国心脏协会和2018年欧洲心脏病学会/欧洲高血压学会高血压/高血压管理临床实践指南是有影响的文件。这两份指南都很全面，采用严格的流程制定，并经过广泛的同行评审。两个指南之间最显着的区别是推荐用于诊断高血压的血压切点。治疗的时间和强度也存在差异，美国心脏病学会/美国心脏协会的指南建议采用更强化的方法。总体而言，2 个指南编写委员会提供的建议基本一致，他们之间的一致性比他们的前辈更大。未来指南的进一步协调将有助于强调其核心建议的共性，并有助于促进实践变革，从而改善全世界对高血压的预防、认识、治疗和控制。