A historic breakthrough in the prevention of cardiovascular disease
In their 2025 guideline, the AHA and ACC recognize psychosocial stress as a major cause of high blood pressure for the first time — and Transcendental Meditation as a validated method to lower it.
Lowers high blood pressure
Clinically proven reduction of both systolic and diastolic blood pressure
Reduces risk of heart attack and stroke
Significantly lower incidence of cardiovascular events
Improves insulin sensitivity
Better metabolic health and resilience
Supports healthier arteries
Improved vascular function and elasticity
Overview
For the first time, the American Heart Association (AHA) and the American College of Cardiology (ACC) have recognized psychosocial stress as a major factor in high blood pressure and cardiometabolic risk in their 2025 guideline.
This represents a major shift in medical practice. The guideline now places psychological stress alongside traditional biomedical and lifestyle factors as a causative factor of hypertension.
Within this new framework, the guideline identifies Transcendental Meditation (TM) as a validated, standardized method to address psychosocial stress and lower high blood pressure to prevent cardiovascular disease. TM is the only meditation technique included, reflecting the extensive evidence for its physiological and clinical benefits.
In adults with or without hypertension, stress reduction through Transcendental Meditation may be reasonable to prevent or treat elevated blood pressure and hypertension, as an adjunct to lifestyle or pharmacological interventions.
— AHA/ACC 2025 High Blood Pressure Guideline
Key lifestyle changes for high blood pressure
AHA/ACC 2025 & Nature Reviews Cardiology 2025
1. Weight management
Achieving and maintaining a healthy weight
2. Heart-healthy diet (DASH)
Rich in vegetables, fruit, and whole grains
3. Regular physical exercise
Daily physical activity
4. Stress Reduction: Transcendental Meditation
The only recognized meditation technique
The science behind the recognition
This recognition reflects decades of research demonstrating that TM creates a state of calm alertness in body and mind, lowers stress hormones, and strengthens the nervous system in ways that support healthier blood pressure and better cardiovascular function.
In addition to the guideline, a new commentary has been published in Nature Reviews Cardiology — the most impactful cardiology journal in the world. The authors describe how TM reduces activation of the sympathetic nervous system, increases parasympathetic balance, and improves coherence in brain networks involved in calmness, resilience, and recovery. These effects help the body recover from the impact of daily stress and support long-term heart health.
More than thirty years of published clinical research shows that regular TM practice yields measurable, lasting improvements in health and well-being.
"Integrating Transcendental Meditation into the prevention of hypertension and cardiovascular disease could usher in a new era in precision public health, in which inner coherence yields measurable reductions in hypertension, cardiometabolic risk, and cardiovascular mortality."
-Robert H. Schneider, MD, FACC , Director of The Institute for Natural Medicine and Prevention, Distinguished Professor of Integrative Medicine and Health Dean Emeritus, College of Integrative Medicine Maharishi International University
These findings confirm what many TM practitioners have long experienced — that the state of quiet alertness during TM practice yields measurable, lasting improvements in health and well-being.
Commentary
Schneider RH, Norris KC, Brook RD. Transcendental Meditation to combat psychosocial stress, hypertension and cardiovascular disease. Nature Reviews Cardiology . Nov 20:1-2, (2025)
Guideline
Jones, DW et al., 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. Hypertension 82, e212–e316 (2025).