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The 2008 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1 - blood pressure measurement, diagnosis and assessment of risk.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2008 Jun; Vol. 24 (6), pp. 455-63. - Publication Year :
- 2008
-
Abstract
- Objective: To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.<br />Options and Outcomes: The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, degree of blood pressure elevation, method of measurement (office, ambulatory, home) and associated comorbidities. The presence of cardiovascular risk factors and target organ damage should be ascertained to assess global cardiovascular risk and determine the urgency, intensity and type of treatment required.<br />Evidence: MEDLINE searches were conducted from November 2006 to October 2007 with the aid of a medical librarian. Reference lists were scanned, experts were contacted, and the personal files of authors and subgroup members were used to identify additional studies. Content and methodological experts assessed studies using prespecified, standardized evidence-based algorithms. Recommendations were based on evidence from peer-reviewed, full-text articles only.<br />Recommendations: Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global cardiovascular risk, diagnostic testing, diagnosis of renovascular and endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Key messages in 2008 include continued emphasis on the expedited, accurate diagnosis of hypertension, the importance of global risk assessment and the need for ongoing monitoring of hypertensive patients to identify incident type 2 diabetes.<br />Validation: All recommendations were graded according to strength of the evidence and voted on by the 57 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. All recommendations reported here received at least 70% consensus. These guidelines will continue to be updated annually.
- Subjects :
- Canada
Clinical Competence
Diagnosis, Differential
Humans
Antihypertensive Agents therapeutic use
Blood Pressure physiology
Blood Pressure Determination standards
Education, Medical, Continuing standards
Hypertension diagnosis
Hypertension drug therapy
Hypertension physiopathology
Practice Guidelines as Topic
Program Evaluation trends
Risk Assessment methods
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 24
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 18548142
- Full Text :
- https://doi.org/10.1016/s0828-282x(08)70619-6