Document Detail


The 2010 Canadian Hypertension Education Program recommendations for the management of hypertension: part I - blood pressure measurement, diagnosis and assessment of risk.
MedLine Citation:
PMID:  20485688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.
EVIDENCE: MEDLINE searches were conducted from November 2008 to October 2009 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 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. Changes to the recommendations for 2010 relate to automated office blood pressure measurements. Automated office blood pressure measurements can be used in the assessment of office blood pressure. When used under proper conditions, an automated office systolic blood pressure of 135 mmHg or higher or diastolic blood pressure of 85 mmHg or higher should be considered analogous to a mean awake ambulatory systolic blood pressure of 135 mmHg or higher and diastolic blood pressure of 85 mmHg or higher, respectively.
VALIDATION: All recommendations were graded according to strength of the evidence and voted on by the 63 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. To be approved, all recommendations were required to be supported by at least 70% of task force members. These guidelines will continue to be updated annually.
Authors:
Robert R Quinn; Brenda R Hemmelgarn; Raj S Padwal; Martin G Myers; Lyne Cloutier; Peter Bolli; Donald W McKay; Nadia A Khan; Michael D Hill; Jeff Mahon; Daniel G Hackam; Steven Grover; Thomas Wilson; Brian Penner; Ellen Burgess; Finlay A McAlister; Maxime Lamarre-Cliche; Donna McLean; Ernesto L Schiffrin; George Honos; Karen Mann; Guy Tremblay; Alain Milot; Arun Chockalingam; Simon W Rabkin; Martin Dawes; Rhian M Touyz; Kevin D Burns; Marcel Ruzicka; Norman R C Campbell; Michel Vallée; G V Ramesh Prasad; Marcel Lebel; Sheldon W Tobe;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  26     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-20     Completed Date:  2010-06-07     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  241-8     Citation Subset:  IM    
Affiliation:
Division of Nephrology, University of Calgary, Alberta. rob.quinn@albertahealthservices.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure Determination / standards
Blood Pressure Monitoring, Ambulatory / standards*
Canada
Cardiovascular Diseases / epidemiology,  prevention & control*
Female
Humans
Hypertension / diagnosis*,  epidemiology
Male
Middle Aged
Physician's Practice Patterns
Practice Guidelines as Topic*
Quality of Health Care
Risk Assessment
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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