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Circulation September 16, 2025 Circulation. 2025;152:e114–e218. DOI: 10.1161/CIR.0000000000001356 Circulation is available at www.ahajournals.org/journal/circ *Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry may apply; see Appendix 1 for detailed information. †ACC/AHA Joint Committee on Clinical Practice Guidelines. ‡Association of Black Cardiologists (ABC) Representative. §American Academy of Physician Associates (AAPA) Representative.‖American College of Clinical Pharmacy (ACCP) Representative. ¶Society of General Internal Medicine (SGIM) Rep resentative. #Preventive Cardiovascular Nurses Association (Representative. **American Medical Association (AMA) Representative. ††American Association of Nurse Practitioners (AANP) Representative. ‡‡National Medical Association (NMA) Representative. §§American College of Preventive Medicine (ACPM) Representative. ‖‖American Society of Preventive Cardiology (ASPC) Representative. ¶¶American Geriatrics Society (AGS) Representative. Peer Review Committee Members and ACC/AHA Joint Committee on Clinical Practice Guidelines Members, see page e187. The American Heart Association requests that this document be cited as follows: 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/ PCNA/SGIM Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/ American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2025;152:e114–e218. doi: 10.1161/CIR.0000000000001356 Supplemental Material, the podcast, and transcript are available with this article at https://www.ahajournals.org/doi/suppl/10.1161/CIR.0000000000001356. © 2025 by the American Heart Association, Inc. and the American College of Cardiology Foundation. CLINICAL PRACTICE GUIDELINES 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ ACPM/AGS/AMA/ASPC/NMA/PCNA/ SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines Developed in Collaboration With and Endorsed by American Academy of Physician Associates; American Association of Nurse Practitioners; American College of Clinical Pharmacy; American College of Preventive Medicine; American Geriatrics Society; American Medical Association; American Society of Preventive Cardiology; Association of Black Cardiologists; National Medical Association; Preventive Cardiovascular Nurses Association; and the Society of General Internal Medicine. Writing Committee Members* Daniel W. Jones, MD, FAHA, Chair; Keith C. Ferdinand, MD, FACC, FAHA, FASPC, Vice Chair; Sandra J. Taler, MD, FAHA, Vice Chair; Heather M. Johnson, MD, MS, FAHA, FACC, FASPC, JC Liaison†; Daichi Shimbo, MD, JC Liaison†; Marwah Abdalla, MD, MPH, FAHA, FACC‡; M. Martine Altieri, PA-C, MHSc§; Nisha Bansal, MD, MAS, FAHA; Natalie A. Bello, MD, MPH, FACC; Adam P. Bress, PharmD, MS‖; Jocelyn Carter, MD, MPH¶; Jordana B. Cohen, MD, MSCE, FAHA; Karen J. Collins, MBA; Yvonne Commodore-Mensah, PhD, MHS, BSN, RN, FAHA, FPCNA#; Leslie L. Davis, PhD, ANP-BC, FACC, FAHA; Brent Egan, MD, FAHA**; Sadiya S. Khan, MD, MSc, FACC, FAHA; Donald M. Lloyd-Jones, MD, ScM, FAHA, FACC; Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP††; Eva A. Mistry, MBBS, MSCI, FAHA; Modele O. Ogunniyi, MD, MPH, FACC, FAHA‡‡; Stacey L. Schott, MD, MPH§; Sidney C. Smith Jr., MD, FAHA, MACC; Amy W. Talbot, MPH; Wanpen Vongpatanasin, MD, FAHA, FACC; Karol E. Watson, MD, PhD, FACC, FAHA, FASPC‖‖; Paul K. Whelton, MB, MD, MSc, FAHA; Jeff D. Williamson, MD, MHS, AGSF¶¶ Downloaded from http://ahajournals.org by on October 7, 2026