The 2009 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1 – blood pressure measurement, diagnosis and assessment of risk

Objective To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension. Options and outcomes The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, the degree of blo...

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Veröffentlicht in:	Canadian journal of cardiology 2009-05, Vol.25 (5), p.279-286
Hauptverfasser:	Padwal, Raj S., MD MSc, Hemmelgarn, Brenda R., MD PhD, Khan, Nadia A., MD MSc, Grover, Steven, MD MPA, McKay, Donald W., PhD, Wilson, Thomas, MD, Penner, Brian, MD, Burgess, Ellen, MD, McAlister, Finlay A., MD MSc, Bolli, Peter, MD, Hill, Michael D., MD MSc, Mahon, Jeff, MD MSc, Myers, Martin G., MD, Abbott, Carl, MD, Schiffrin, Ernesto L., MD PhD, Honos, George, MD, Mann, Karen, MSc PhD, Tremblay, Guy, MD, Milot, Alain, MD MSc, Cloutier, Lyne, RN MSc PhD, Chockalingam, Arun, MS PhD, Rabkin, Simon W., MD, Dawes, Martin, MBBS MD(Lond), Touyz, Rhian M., MD PhD, Bell, Chaim, MD PhD, Burns, Kevin D., MD, Ruzicka, Marcel, MD PhD, Campbell, Norman R.C., MD, Vallée, Michel, MD PhD, Prasad, Ramesh, MBBS MSc, Lebel, Marcel, MD, Tobe, Sheldon W., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Antihypertensive Agents - therapeutic use Blood pressure Blood Pressure Determination - standards Canada Cardiovascular Clinical Competence Combined Modality Therapy Diagnosis Education, Medical, Continuing - standards Female Guideline Adherence Guidelines Health Promotion - organization & administration High blood pressure Humans Hypertension Hypertension - diagnosis Hypertension - therapy Life Style Male Middle Aged Prognosis Randomized Controlled Trials as Topic Risk factors Risk Management Treatment Outcome
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Zusammenfassung:	Objective To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension. Options and outcomes The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, the degree of blood pressure elevation, the 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. Evidence MEDLINE searches were conducted from November 2007 to October 2008 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. Recommendations Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Key messages 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. 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 were required to be supported by at least 70% of task force members. These guidelines will continue to be updated annually.
ISSN:	0828-282X 1916-7075
DOI:	10.1016/S0828-282X(09)70491-X