Abstract:In June 2018, the European Society of Cardiology and the European Society of Hypertension (ESC/ESH) jointly published the “2018 ESC/ESH Arterial Hypertension Guidelines” at the ESH Annual Meeting in Barcelona, Spain. This article explains the definition, measurement and screening of hypertension. The article further explains the overall risk stratification, initial blood pressure level, office blood pressure in hypertension treatment and lifestyle intervention, drug therapy, instrument therapy for hypertension. It also brings many thoughts and inspirations for the revision of the hypertension guidelines for our country in the future.