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The 2014 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2014 May; Vol. 30 (5), pp. 485-501. Date of Electronic Publication: 2014 Feb 22. - Publication Year :
- 2014
-
Abstract
- Herein, updated evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in Canadian adults are detailed. For 2014, 3 existing recommendations were modified and 2 new recommendations were added. The following recommendations were modified: (1) the recommended sodium intake threshold was changed from ≤ 1500 mg (3.75 g of salt) to approximately 2000 mg (5 g of salt) per day; (2) a pharmacotherapy treatment initiation systolic blood pressure threshold of ≥ 160 mm Hg was added in very elderly (age ≥ 80 years) patients who do not have diabetes or target organ damage (systolic blood pressure target in this population remains at < 150 mm Hg); and (3) the target population recommended to receive low-dose acetylsalicylic acid therapy for primary prevention was narrowed from all patients with controlled hypertension to only those ≥ 50 years of age. The 2 new recommendations are: (1) advice to be cautious when lowering systolic blood pressure to target levels in patients with established coronary artery disease if diastolic blood pressure is ≤ 60 mm Hg because of concerns that myocardial ischemia might be exacerbated; and (2) the addition of glycated hemoglobin (A1c) in the diagnostic work-up of patients with newly diagnosed hypertension. The rationale for these recommendation changes is discussed. In addition, emerging data on blood pressure targets in stroke patients are discussed; these data did not lead to recommendation changes at this time. The Canadian Hypertension Education Program recommendations will continue to be updated annually.<br /> (Copyright © 2014 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Blood Pressure
Canada
Humans
Life Style
Prognosis
Antihypertensive Agents therapeutic use
Blood Pressure Determination standards
Health Promotion organization & administration
Hypertension diagnosis
Hypertension drug therapy
Hypertension prevention & control
Patient Education as Topic
Practice Guidelines as Topic
Program Evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 30
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 24786438
- Full Text :
- https://doi.org/10.1016/j.cjca.2014.02.002