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6. The urgency to regulate validation of automated blood pressure measuring devices: a policy statement and call to action from the world hypertension league

Author

Sharman, James E., Ordunez, Pedro, Brady, Tammy, Parati, Gianfranco, Stergiou, George, Whelton, Paul K., Padwal, Raj, Olsen, Michael Hecht, Delles, Christian, Schutte, Aletta E., Tomaszewski, Maciej, Lackland, Daniel T., Khan, Nadia, McManus, Richard J., Tsuyuki, Ross T., Zhang, Xin-Hua, Murphy, Lisa D., Moran, Andrew E., Schlaich, Markus P., and Campbell, Norm R. C.

Published
2023
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8. Sodium and Health: Old Myths and a Controversy Based on Denial

Author

Cappuccio, Francesco P., Campbell, Norm R. C., He, Feng J., Jacobson, Michael F., MacGregor, Graham A., Antman, Elliott, Appel, Lawrence J., Arcand, JoAnne, Blanco-Metzler, Adriana, Cook, Nancy R., Guichon, Juliet R., L’Abbè, Mary R., Lackland, Daniel T., Lang, Tim, McLean, Rachael M., Miglinas, Marius, Mitchell, Ian, Sacks, Frank M., Sever, Peter S., Stampfer, Meir, Strazzullo, Pasquale, Sunman, Wayne, Webster, Jacqui, Whelton, Paul K., and Willett, Walter

Published
2022
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11. Lifestyle management of hypertension : International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Author

Charchar, Fadi J., Prestes, Priscilla R., Mills, Charlotte, Ching, Siew Mooi, Neupane, Dinesh, Marques, Francine Z., Sharman, James E., Vogt, Liffert, Burrell, Louise M., Korostovtseva, Lyudmila, Zec, Manja, Patil, Mansi, Schultz, Martin G., Wallen, Matthew P., Renna, Nicolás F, Islam, Sheikh Mohammed Shariful, Hiremath, Swapnil, Gyeltshen, Tshewang, Chia, Yook-Chin, Gupta, Abhinav, Schutte, Aletta E., Klein, Britt, Borghi, Claudio, Browning, Colette J., Czesnikiewicz-Guzik, Marta, Lee, Hae-Young, Itoh, Hiroshi, Miura, Katsuyuki, Brunström, Mattias, Campbell, Norm R. C., Akinnibossun, Olutope Arinola, Veerabhadrappa, Praveen, Wainford, Richard D., Kruger, Ruan, Thomas, Shane A., Komori, Takahiro, Ralapanawa, Udaya, Cornelissen, Véronique A., Kapil, Vikas, Li, Yan, Zhang, Yuqing, Jafar, Tazeen H., Khan, Nadia, Williams, Bryan, Stergiou, George, Tomaszewski, Maciej, Charchar, Fadi J., Prestes, Priscilla R., Mills, Charlotte, Ching, Siew Mooi, Neupane, Dinesh, Marques, Francine Z., Sharman, James E., Vogt, Liffert, Burrell, Louise M., Korostovtseva, Lyudmila, Zec, Manja, Patil, Mansi, Schultz, Martin G., Wallen, Matthew P., Renna, Nicolás F, Islam, Sheikh Mohammed Shariful, Hiremath, Swapnil, Gyeltshen, Tshewang, Chia, Yook-Chin, Gupta, Abhinav, Schutte, Aletta E., Klein, Britt, Borghi, Claudio, Browning, Colette J., Czesnikiewicz-Guzik, Marta, Lee, Hae-Young, Itoh, Hiroshi, Miura, Katsuyuki, Brunström, Mattias, Campbell, Norm R. C., Akinnibossun, Olutope Arinola, Veerabhadrappa, Praveen, Wainford, Richard D., Kruger, Ruan, Thomas, Shane A., Komori, Takahiro, Ralapanawa, Udaya, Cornelissen, Véronique A., Kapil, Vikas, Li, Yan, Zhang, Yuqing, Jafar, Tazeen H., Khan, Nadia, Williams, Bryan, Stergiou, George, and Tomaszewski, Maciej

Abstract

Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools.

Published
2024
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15. Impact of color-coded and warning nutrition labelling schemes: A systematic review and network meta-analysis

Author

Song, Jing, Brown, Mhairi K., Tan, Monique, MacGregor, Graham A., Webster, Jacqui, Campbell, Norm R. C., Trieu, Kathy, Ni Mhurchu, Cliona, Cobb, Laura K., and He, Feng J.

Subjects
Consumer behavior -- Health aspects, Food labeling -- Methods -- Psychological aspects, Food buying -- Health aspects, Biological sciences
Abstract

Background Suboptimal diets are a leading risk factor for death and disability. Nutrition labelling is a potential method to encourage consumers to improve dietary behaviour. This systematic review and network meta-analysis (NMA) summarises evidence on the impact of colour-coded interpretive labels and warning labels on changing consumers' purchasing behaviour. Methods and findings We conducted a literature review of peer-reviewed articles published between 1 January 1990 and 24 May 2021 in PubMed, Embase via Ovid, Cochrane Central Register of Controlled Trials, and SCOPUS. Randomised controlled trials (RCTs) and quasi-experimental studies were included for the primary outcomes (measures of changes in consumers' purchasing and consuming behaviour). A frequentist NMA method was applied to pool the results. A total of 156 studies (including 101 RCTs and 55 non-RCTs) nested in 138 articles were incorporated into the systematic review, of which 134 studies in 120 articles were eligible for meta-analysis. We found that the traffic light labelling system (TLS), nutrient warning (NW), and health warning (HW) were associated with an increased probability of selecting more healthful products (odds ratios [ORs] and 95% confidence intervals [CIs]: TLS, 1.5 [1.2, 1.87]; NW, 3.61 [2.82, 4.63]; HW, 1.65 [1.32, 2.06]). Nutri-Score (NS) and warning labels appeared effective in reducing consumers' probability of selecting less healthful products (NS, 0.66 [0.53, 0.82]; NW,0.65 [0.54, 0.77]; HW,0.64 [0.53, 0.76]). NS and NW were associated with an increased overall healthfulness (healthfulness ratings of products purchased using models such as FSAm-NPS/HCSP) by 7.9% and 26%, respectively. TLS, NS, and NW were associated with a reduced energy (total energy: TLS, -6.5%; NS, -6%; NW, -12.9%; energy per 100 g/ml: TLS, -3%; NS, -3.5%; NW, -3.8%), sodium (total sodium/salt: TLS, -6.4%; sodium/salt per 100 g/ml: NS: -7.8%), fat (total fat: NS, -15.7%; fat per 100 g/ml: TLS: -2.6%; NS: -3.2%), and total saturated fat (TLS, -12.9%; NS: -17.1%; NW: -16.3%) content of purchases. The impact of TLS, NS, and NW on purchasing behaviour could be explained by improved understanding of the nutrition information, which further elicits negative perception towards unhealthful products or positive attitudes towards healthful foods. Comparisons across label types suggested that colour-coded labels performed better in nudging consumers towards the purchase of more healthful products (NS versus NW: 1.51 [1.08, 2.11]), while warning labels have the advantage in discouraging unhealthful purchasing behaviour (NW versus TLS: 0.81 [0.67, 0.98]; HW versus TLS: 0.8 [0.63, 1]). Study limitations included high heterogeneity and inconsistency in the comparisons across different label types, limited number of real-world studies (95% were laboratory studies), and lack of long-term impact assessments. Conclusions Our systematic review provided comprehensive evidence for the impact of colour-coded labels and warnings in nudging consumers' purchasing behaviour towards more healthful products and the underlying psychological mechanism of behavioural change. Each type of label had different attributes, which should be taken into consideration when making front-of-package nutrition labelling (FOPL) policies according to local contexts. Our study supported mandatory front-of-pack labelling policies in directing consumers' choice and encouraging the food industry to reformulate their products. Protocol registry PROSPERO (CRD42020161877)., Author(s): Jing Song 1, Mhairi K. Brown 1, Monique Tan 1, Graham A. MacGregor 1, Jacqui Webster 2, Norm R. C. Campbell 3, Kathy Trieu 2, Cliona Ni Mhurchu 2,4, [...]

Published
2021
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18. The urgency to regulate validation of automated blood pressure measuring devices: a policy statement and call to action from the world hypertension league

Author

Sharman, James E., primary, Ordunez, Pedro, additional, Brady, Tammy, additional, Parati, Gianfranco, additional, Stergiou, George, additional, Whelton, Paul K., additional, Padwal, Raj, additional, Olsen, Michael Hecht, additional, Delles, Christian, additional, Schutte, Aletta E., additional, Tomaszewski, Maciej, additional, Lackland, Daniel T., additional, Khan, Nadia, additional, McManus, Richard J., additional, Tsuyuki, Ross T., additional, Zhang, Xin-Hua, additional, Murphy, Lisa D., additional, Moran, Andrew E., additional, Schlaich, Markus P., additional, and Campbell, Norm R. C., additional

Published
2022
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21. Country experiences on the path to exclusive use of validated automated blood pressure measuring devices within the HEARTS in the Americas Initiative

Author

Lombardi, Cintia, primary, Picone, Dean S., additional, Sharman, James E., additional, Campbell, Norm R. C., additional, Farias, Rafael, additional, Guerre, Stephanie, additional, Gittens, Anselm, additional, Paccot, Melanie, additional, Villacres, Nilda, additional, Valdes, Yamile, additional, and Ordunez, Pedro, additional

Published
2022
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22. 2022 World Hypertension League, Resolve To Save Lives and International Society of Hypertension dietary sodium (salt) global call to action

Author

Campbell, Norm R. C., primary, Whelton, Paul K., additional, Orias, Marcelo, additional, Wainford, Richard D., additional, Cappuccio, Francesco P., additional, Ide, Nicole, additional, Neal, Bruce, additional, Cohn, Jennifer, additional, Cobb, Laura K., additional, Webster, Jacqui, additional, Trieu, Kathy, additional, He, Feng J., additional, McLean, Rachael M., additional, Blanco-Metzler, Adriana, additional, Woodward, Mark, additional, Khan, Nadia, additional, Kokubo, Yoshihiro, additional, Nederveen, Leo, additional, Arcand, JoAnne, additional, MacGregor, Graham A., additional, Owolabi, Mayowa O., additional, Lisheng, Liu, additional, Parati, Gianfranco, additional, Lackland, Daniel T., additional, Charchar, Fadi J., additional, Williams, Bryan, additional, Tomaszewski, Maciej, additional, Romero, Cesar A., additional, Champagne, Beatriz, additional, L’Abbe, Mary R., additional, Weber, Michael A., additional, Schlaich, Markus P., additional, Fogo, Agnes, additional, Feigin, Valery L., additional, Akinyemi, Rufus, additional, Inserra, Felipe, additional, Menon, Bindu, additional, Simas, Marcia, additional, Neves, Mario Fritsch, additional, Hristova, Krassimira, additional, Pullen, Carolyn, additional, Pandeya, Sanjay, additional, Ge, Junbo, additional, Jalil, Jorge E., additional, Wang, Ji-Guang, additional, Wideimsky, Jiri, additional, Kreutz, Reinhold, additional, Wenzel, Ulrich, additional, Stowasser, Michael, additional, Arango, Manuel, additional, Protogerou, Athanasios, additional, Gkaliagkousi, Eugenia, additional, Fuchs, Flávio Danni, additional, Patil, Mansi, additional, Chan, Andy Wai-Kwong, additional, Nemcsik, János, additional, Tsuyuki, Ross T., additional, Narasingan, Sanjeevi Nathamuni, additional, Sarrafzadegan, Nizal, additional, Ramos, María Eugenia, additional, Yeo, Natalie, additional, Rakugi, Hiromi, additional, Ramirez, Agustin J., additional, Álvarez, Guillermo, additional, Berbari, Adel, additional, Kim, Cho-il, additional, Ihm, Sang-Hyun, additional, Chia, Yook-Chin, additional, Unurjargal, Tsolmon, additional, Park, Hye Kyung, additional, Wahab, Kolawole, additional, McGuire, Helen, additional, Dashdorj, Naranjargal J., additional, Ishaq, Mohammed, additional, Ona, Deborah Ignacia D., additional, Mercado-Asis, Leilani B., additional, Prejbisz, Aleksander, additional, Leenaerts, Marianne, additional, Simão, Carla, additional, Pinto, Fernando, additional, Almustafa, Bader Ali, additional, Spaak, Jonas, additional, Farsky, Stefan, additional, Lovic, Dragan, additional, and Zhang, Xin-Hua, additional

Published
2022
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26. HEARTS in the Americas: a global example of using clinically validated automated blood pressure devices in cardiovascular disease prevention and management in primary health care settings

Author

Ordunez, Pedro, primary, Lombardi, Cintia, additional, Picone, Dean S., additional, Brady, Tammy M., additional, Campbell, Norm R. C., additional, Moran, Andrew E., additional, Padwal, Raj, additional, Rosende, Andres, additional, Whelton, Paul K., additional, and Sharman, James E., additional

Published
2022
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28. 2022 World Hypertension League, Resolve To Save Lives and International Society of Hypertension dietary sodium (salt) global call to action

Author

Campbell, Norm R. C., Whelton, Paul K., Orias, Marcelo, Wainford, Richard D., Cappuccio, Francesco P., Ide, Nicole, Neal, Bruce, Cohn, Jennifer, Cobb, Laura K., Webster, Jacqui, Trieu, Kathy, He, Feng J., McLean, Rachael M., Blanco-Metzler, Adriana, Woodward, Mark, Khan, Nadia, Kokubo, Yoshihiro, Nederveen, Leo, Arcand, JoAnne, MacGregor, Graham A., Owolabi, Mayowa O., Lisheng, Liu, Parati, Gianfranco, Lackland, Daniel T., Charchar, Fadi J., Williams, Bryan, Tomaszewski, Maciej, Romero, Cesar A., Champagne, Beatriz, L’Abbe, Mary R., Weber, Michael A., Schlaich, Markus P., Fogo, Agnes, Feigin, Valery L., Akinyemi, Rufus, Inserra, Felipe, Menon, Bindu, Simas, Marcia, Neves, Mario Fritsch, Hristova, Krassimira, Pullen, Carolyn, Pandeya, Sanjay, Ge, Junbo, Jalil, Jorge E., Wang, Ji-Guang, Wideimsky, Jiri, Kreutz, Reinhold, Wenzel, Ulrich, Stowasser, Michael, Arango, Manuel, Protogerou, Athanasios, Gkaliagkousi, Eugenia, Fuchs, Flávio Danni, Patil, Mansi, Chan, Andy Wai-Kwong, Nemcsik, János, Tsuyuki, Ross T., Narasingan, Sanjeevi Nathamuni, Sarrafzadegan, Nizal, Ramos, María Eugenia, Yeo, Natalie, Rakugi, Hiromi, Ramirez, Agustin J., Álvarez, Guillermo, Berbari, Adel, Kim, Cho-il, Ihm, Sang-Hyun, Chia, Yook-Chin, Unurjargal, Tsolmon, Park, Hye Kyung, Wahab, Kolawole, McGuire, Helen, Dashdorj, Naranjargal J., Ishaq, Mohammed, Ona, Deborah Ignacia D., Mercado-Asis, Leilani B., Prejbisz, Aleksander, Leenaerts, Marianne, Simão, Carla, Pinto, Fernando, Almustafa, Bader Ali, Spaak, Jonas, Farsky, Stefan, Lovic, Dragan, and Zhang, Xin-Hua

Published
2023
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30. May Measurement Month 2019: an analysis of blood pressure screening results from Ulaanbaatar, Mongolia

Author

Myanganbayar, Maral, primary, Boldbaatar, Khatantuul, additional, Tuvdendarjaa, Khulan, additional, Beaney, Thomas, additional, Partington, Giles, additional, Baatarsuren, Uurtsaikh, additional, Bayarsaikhan, Nomin-Erdene, additional, Davaadamdin, Orkhonselenge, additional, Bungert, Andreas, additional, Campbell, Norm R C, additional, Poulter, Neil R, additional, and Dashdorj, Naranjargal, additional

Published
2021
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32. Mapping stages, barriers and facilitators to the implementation of HEARTS in the Americas initiative in 12 countries: A qualitative study

Author

Giraldo, Gloria P., primary, Joseph, Kristy T., additional, Angell, Sonia Y., additional, Campbell, Norm R. C., additional, Connell, Kenneth, additional, DiPette, Donald J., additional, Escobar, Maria C., additional, Valdés‐Gonzalez, Yamile, additional, Jaffe, Marc G., additional, Malcolm, Taraleen, additional, Maldonado, Javier, additional, Lopez‐Jaramillo, Patricio, additional, Olsen, Michaels Hecht, additional, and Ordunez, Pedro, additional

Published
2021
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34. Optimización del desempeño del observador al medir la presión arterial en el consultorio: declaración de posición de la Comisión Lancet de Hipertensión*Traducción oficial al español del artículo original en inglés efectuada por la Organización Panamericana de la Salud. En caso de discrepancia, prevalecerá la versión original en inglés. Wolters Kluwer Health, Inc. y sus sociedades no se hacen responsables de la exactitud de la traducción del original inglés ni de los eventuales errores que esta pueda contener. Cita del artículo original: Padwal R, Campbell NRC, Schutte AE, Olsen MH, Delles C, Etyang A, et al. Optimizing observer performance of clinic blood Pressure measurement: a position statement from the Lancet Commission on Hypertension Group. J Hypertens. 2019:37(9):1737-45. doi: https://doi.org/10.1097/HJH.0000000000002112

Author

Padwal, Raj, Campbell, Norm R. C., Schutte, Aletta E., Olsen, Michael Hecht, Delles, Christian, Etyang, Anthony, Cruickshank, J. Kennedy, Stergiou, George, Rakotz, Michael K., Wozniak, Gregory, Jaffe, Marc G., Benjamin, Ivor, Parati, Gianfranco, and Sharman, James E.

Subjects
Informe Especial, oscillometry, Presión arterial, hypertension, oscilometria, oscilometría, equipamentos de medição, global health, consenso, measurement equipment, hipertensión arterial, equipos de medición, consensus, Pressão arterial, hipertensão, salud mundial, saúde global, Arterial pressure
Abstract

High blood pressure (BP) is a highly prevalent modifiable cause of cardiovascular disease, stroke, and death. Accurate BP measurement is critical, given that a 5-mmHg measurement error may lead to incorrect hypertension status classification in 84 million individuals worldwide. This position statement summarizes procedures for optimizing observer performance in clinic BP measurement, with special attention given to low-tomiddle- income settings, where resource limitations, heavy workloads, time constraints, and lack of electrical power make measurement more challenging. Many measurement errors can be minimized by appropriate patient preparation and standardized techniques. Validated semi-automated/automated upper arm cuff devices should be used instead of auscultation to simplify measurement and prevent observer error. Task sharing, creating a dedicated measurement workstation, and using semi-automated or solar-charged devices may help. Ensuring observer training, and periodic re-training, is critical. Low-cost, easily accessible certification programs should be considered to facilitate best BP measurement practice.A hipertensão é uma causa altamente prevalente de doença cardiovascular, acidente vascular cerebral e morte. A medição precisa da pressão arterial (PA) é um aspecto crítico, uma vez que erros de mensuração da ordem de 5 mmHg podem levar a uma classificação incorreta do status de hipertensão em 84 milhões de pessoas em todo o mundo. O presente posicionamento resume os procedimentos para otimizar o desempenho do observador (o indivíduo responsável pela mensuração da PA) na mensuração clínica da PA, com atenção especial para contextos de baixa a média renda, onde recursos limitados, cargas de trabalho pesadas, restrições de tempo e falta de energia elétrica tornam mais desafiadora a tarefa de medir a PA. Muitos erros de mensuração podem ser minimizados pela preparação adequada do paciente e pelo uso de técnicas padronizadas. Para simplificar a mensuração e evitar erros do observador, devem-se utilizar dispositivos semiautomatizados ou automatizados validados, com manguito para braço, ao invés de auscultação. O compartilhamento de tarefas, a criação de uma estação de trabalho dedicada à mensuração e o uso de dispositivos semiautomatizados ou com carga solar podem ajudar. É essencial que seja assegurado o treinamento e retreinamento periódico do observador. Programas de certificação de baixo custo e de fácil acesso devem ser considerados para facilitar a adoção das melhores práticas na mensuração da PA.

Published
2020

35. How to check whether a blood pressure monitor has been properly validated for accuracy

Author

10922180 - Schutte, Aletta Elisabeth, 22368590 - Mokwatsi, Gontse Gratitude, Picone, Dean S., Mokwatsi, Gontse G., Schutte, Aletta E., Padwal, Raj, Campbell, Norm R. C., 10922180 - Schutte, Aletta Elisabeth, 22368590 - Mokwatsi, Gontse Gratitude, Picone, Dean S., Mokwatsi, Gontse G., Schutte, Aletta E., Padwal, Raj, and Campbell, Norm R. C.

Abstract

Hypertension guidelines recommend that blood pressure (BP) should be measured using a monitor that has passed validation testing for accuracy. BP monitors that have not undergone rigorous validation testing can still be cleared by regulatory authorities for marketing and sale. This is the situation for most BP monitors worldwide. Thus, consumers (patients, health professionals, procurement officers, and general public) may unwittingly purchase BP monitors that are non‐validated and more likely to be inaccurate. Without prior knowledge of these issues, it is extremely difficult for consumers to distinguish validated from non‐validated BP monitors. For the above reasons, the aim of this paper is to provide consumers guidance on how to check whether a BP monitor has been properly validated for accuracy. The process involves making an online search of listings of BP monitors that have been assessed for validation status. Only those monitors that have been properly validated are recommended for BP measurement. There are numerous different online listings of BP monitors, several are country‐specific and two are general (international) listings. Because monitors can be marketed using alternative model names in different countries, if a monitor is not found on one listing, it may be worthwhile cross‐checking with a different listing. This information is widely relevant to anyone seeking to purchase a home, clinic, or ambulatory BP monitor, including individual consumers for use personally or policy makers and those procuring monitors for use in healthcare systems, and retailers looking to stock only validated BP monitors

Published
2020

36. Lancet Commission on Hypertension Group position statement on the global improvement of accuracy standards for devices that measure blood pressure [Declaración de posición del Grupo de la Comisión Lancet de Hipertensión con respecto a la mejora mundial de las normas de exactitud para los dispositivos de medición de la presión arterial]

Author

Sharman, J, O'Brien, E, Alpert, B, Schutte, A, Delles, C, Olsen, M, Asmar, R, Atkins, N, Barbosa, E, Calhoun, D, Campbell, N, Chalmers, J, Benjamin, I, Jennings, G, Laurent, S, Boutouyrie, P, Lopez-Jaramillo, P, Mcmanus, R, Mihailidou, A, Ordunez, P, Padwal, R, Palatini, P, Parati, G, Poulter, N, Rakotz, M, Rosendorff, C, Saladini, F, Scuteri, A, Barroso, W, Cho, M, Sung, K, Townsend, R, Wang, J, Hansen, T, Wozniak, G, Stergiou, G, Sharman, James E, O'Brien, Eoin, Alpert, Bruce, Schutte, Aletta E, Delles, Christian, Olsen, Michael Hecht, Asmar, Roland, Atkins, Neil, Barbosa, Eduardo, Calhoun, David, Campbell, Norm R C, Chalmers, John, Benjamin, Ivor, Jennings, Garry, Laurent, Stéphane, Boutouyrie, Pierre, Lopez-Jaramillo, Patricio, McManus, Richard J, Mihailidou, Anastasia S, Ordunez, Pedro, Padwal, Raj, Palatini, Paolo, Parati, Gianfranco, Poulter, Neil, Rakotz, Michael K, Rosendorff, Clive, Saladini, Francesca, Scuteri, Angelo, Barroso, Weimar Sebba, Cho, Myeong-Chan, Sung, Ki-Chul, Townsend, Raymond R, Wang, Ji-Guang, Hansen, Tine Willum, Wozniak, Gregory, Stergiou, George, Sharman, J, O'Brien, E, Alpert, B, Schutte, A, Delles, C, Olsen, M, Asmar, R, Atkins, N, Barbosa, E, Calhoun, D, Campbell, N, Chalmers, J, Benjamin, I, Jennings, G, Laurent, S, Boutouyrie, P, Lopez-Jaramillo, P, Mcmanus, R, Mihailidou, A, Ordunez, P, Padwal, R, Palatini, P, Parati, G, Poulter, N, Rakotz, M, Rosendorff, C, Saladini, F, Scuteri, A, Barroso, W, Cho, M, Sung, K, Townsend, R, Wang, J, Hansen, T, Wozniak, G, Stergiou, G, Sharman, James E, O'Brien, Eoin, Alpert, Bruce, Schutte, Aletta E, Delles, Christian, Olsen, Michael Hecht, Asmar, Roland, Atkins, Neil, Barbosa, Eduardo, Calhoun, David, Campbell, Norm R C, Chalmers, John, Benjamin, Ivor, Jennings, Garry, Laurent, Stéphane, Boutouyrie, Pierre, Lopez-Jaramillo, Patricio, McManus, Richard J, Mihailidou, Anastasia S, Ordunez, Pedro, Padwal, Raj, Palatini, Paolo, Parati, Gianfranco, Poulter, Neil, Rakotz, Michael K, Rosendorff, Clive, Saladini, Francesca, Scuteri, Angelo, Barroso, Weimar Sebba, Cho, Myeong-Chan, Sung, Ki-Chul, Townsend, Raymond R, Wang, Ji-Guang, Hansen, Tine Willum, Wozniak, Gregory, and Stergiou, George

Abstract

The Lancet Commission on Hypertension identified that a key action to address the worldwide burden of high blood pressure (BP) was to improve the quality of BP measurements by using BP devices that have been validated for accuracy. Currently, there are over 3 000 commercially available BP devices, but many do not have published data on accuracy testing according to established scientific standards. This problem is enabled through weak or absent regulations that allow clearance of devices for commercial use without formal validation. In addition, new BP technologies have emerged (e.g. cuffless sensors) for which there is no scientific consensus regarding BP measurement accuracy standards. Altogether, these issues contribute to the widespread availability of clinic and home BP devices with limited or uncertain accuracy, leading to inappropriate hypertension diagnosis, management and drug treatment on a global scale. The most significant problems relating to the accuracy of BP devices can be resolved by the regulatory requirement for mandatory independent validation of BP devices according to the universally-accepted International Organization for Standardization Standard. This is a primary recommendation for which there is an urgent international need. Other key recommendations are development of validation standards specifically for new BP technologies and online lists of accurate devices that are accessible to consumers and health professionals. Recommendations are aligned with WHO policies on medical devices and universal healthcare. Adherence to recommendations would increase the global availability of accurate BP devices and result in better diagnosis and treatment of hypertension, thus decreasing the worldwide burden from high BP.

Published
2020

38. World Heart Federation Roadmap for Hypertension – A 2021 Update

Author

Jeemon, Panniyammakal, primary, Séverin, Tania, additional, Amodeo, Celso, additional, Balabanova, Dina, additional, Campbell, Norm R. C., additional, Gaita, Dan, additional, Kario, Kazuomi, additional, Khan, Taskeen, additional, Melifonwu, Rita, additional, Moran, Andrew, additional, Ogola, Elijah, additional, Ordunez, Pedro, additional, Perel, Pablo, additional, Piñeiro, Daniel, additional, Pinto, Fausto J., additional, Schutte, Aletta E., additional, Wyss, Fernando Stuardo, additional, Yan, Lijing L., additional, Poulter, Neil R., additional, and Prabhakaran, Dorairaj, additional

Published
2021
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41. Standardized treatment to improve hypertension control in primary health care: The HEARTS in the Americas Initiative

Author

DiPette, Donald J., primary, Goughnour, Kenneth, additional, Zuniga, Eric, additional, Skeete, Jamario, additional, Ridley, Emily, additional, Angell, Sonia, additional, Brettler, Jeffrey, additional, Campbell, Norm R. C., additional, Coca, Antionio, additional, Connell, Kenneth, additional, Doon, Rohit, additional, Jaffe, Marc, additional, Lopez‐Jaramillo, Patricio, additional, Moran, Andrew, additional, Orias, Marcelo, additional, Pineiro, Daniel J., additional, Rosende, Andres, additional, González, Yamilé Valdés, additional, and Ordunez, Pedro, additional

Published
2020
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42. Weak and fragmented regulatory frameworks on the accuracy of blood pressure‐measuring devices pose a major impediment for the implementation of HEARTS in the Americas

Author

Lombardi, Cintia, primary, Sharman, James E., additional, Padwal, Raj, additional, Picone, Dean, additional, Alcolea, Ernesto, additional, Ayala, Roberto, additional, Gittens, Anselm, additional, Lawrence‐Williams, Patrice, additional, Malcolm, Taraleen, additional, Neira, Carolina, additional, Perez, Vivian, additional, Rosende, Andres, additional, Tesser, Juliano, additional, Villacres, Nilda, additional, Campbell, Norm R. C., additional, and Ordunez, Pedro, additional

Published
2020
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44. Further evidence that methods based on spot urine samples should not be used to examine sodium‐disease relationships from the Science of Salt: A regularly updated systematic review of salt and health outcomes (November 2018 to August 2019)

Author

Petersen, Kristina S., primary, Malta, Daniela, additional, Rae, Sarah, additional, Dash, Sarah, additional, Webster, Jacqui, additional, McLean, Rachael, additional, Thout, Sudhir Raj, additional, Campbell, Norm R. C., additional, and Arcand, JoAnne, additional

Published
2020
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45. Brief online certification course for measuring blood pressure with an automated blood pressure device. A free new resource to support World Hypertension Day Oct 17, 2020

Author

Campbell, Norm R. C., primary, Khalsa, Tej, additional, Ordunez, Pedro, additional, Rodriguez Morales, Yenny A., additional, Zhang, Xin‐Hua, additional, Parati, Gianfranco, additional, Padwal, Raj, additional, Tsuyuki, Ross T., additional, Cloutier, Lyne, additional, and Sharman, James E., additional

Published
2020
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46. Urgent need to increase the rates of diagnosing, treating and controlling hypertension in older women: A call for action

Author

Campbell, Norm R. C., primary, Dattani, Shelita, additional, Bell, Alan, additional, Gelfer, Mark, additional, Cloutier, Lyne, additional, Petrella, Robert, additional, Lindsay, Patrice, additional, Leung, Alexander A., additional, McLean, Donna, additional, Kaczorowski, Janusz, additional, and Tsuyuki, Ross T., additional

Published
2020
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