In the third part of ECR Podcast's series on sex-differences in hypertension, Dr Isabella Sudano (University Hospital and University of Zurich, Zurich, CH) and Dr Eva Gerdts (Haukeland University Hospital, Bergen, NO) are joined by Prof Renata Cifkova (Institute of Experimental Medicine, Prague, CZ) to discuss the diagnosis of hypertension in women, including how we can raise awareness for this issue.

Discussion points include:

• What are the main challenges for early diagnosis today? Current ESC/ESH guidelines recommend regular measurement of BP in all adults >18 years. To what extent is this followed up in European countries?
• Are there any particular groups that need a more careful follow-up of BP?
• Healthy young and middle-aged women have much lower BP than men of the same age. Recent publications have demonstrated that CVD risk increases at a lower level in women than in men. Do you think we need sex-specific thresholds for the diagnosis of hypertension?
• What about the role of adherence and persistence in blood pressure control? Are there known sex differences?
• What are the underlying reasons for less control in women compared to men at the same age?

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