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Hypertension Canada's 2018 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults and Children.
- Source :
-
The Canadian journal of cardiology [Can J Cardiol] 2018 May; Vol. 34 (5), pp. 506-525. Date of Electronic Publication: 2018 Mar 01. - Publication Year :
- 2018
-
Abstract
- Hypertension Canada provides annually updated, evidence-based guidelines for the diagnosis, assessment, prevention, and treatment of hypertension in adults and children. This year, the adult and pediatric guidelines are combined in one document. The new 2018 pregnancy-specific hypertension guidelines are published separately. For 2018, 5 new guidelines are introduced, and 1 existing guideline on the blood pressure thresholds and targets in the setting of thrombolysis for acute ischemic stroke is revised. The use of validated wrist devices for the estimation of blood pressure in individuals with large arm circumference is now included. Guidance is provided for the follow-up measurements of blood pressure, with the use of standardized methods and electronic (oscillometric) upper arm devices in individuals with hypertension, and either ambulatory blood pressure monitoring or home blood pressure monitoring in individuals with white coat effect. We specify that all individuals with hypertension should have an assessment of global cardiovascular risk to promote health behaviours that lower blood pressure. Finally, an angiotensin receptor-neprilysin inhibitor combination should be used in place of either an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker in individuals with heart failure (with ejection fraction < 40%) who are symptomatic despite appropriate doses of guideline-directed heart failure therapies. The specific evidence and rationale underlying each of these guidelines are discussed.<br /> (Copyright © 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Antihypertensive Agents administration & dosage
Antihypertensive Agents classification
Canada
Cardiovascular Diseases etiology
Child
Evidence-Based Practice
Female
Health Promotion methods
Humans
Male
Risk Assessment methods
Blood Pressure Determination instrumentation
Blood Pressure Determination methods
Blood Pressure Determination standards
Blood Pressure Monitoring, Ambulatory instrumentation
Blood Pressure Monitoring, Ambulatory methods
Cardiovascular Diseases prevention & control
Hypertension complications
Hypertension diagnosis
Hypertension therapy
Preventive Health Services methods
Subjects
Details
- Language :
- English
- ISSN :
- 1916-7075
- Volume :
- 34
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Canadian journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 29731013
- Full Text :
- https://doi.org/10.1016/j.cjca.2018.02.022