Hypertension Canada's 2018 Guidelines for Diagnosis, Risk Assessment, Prevention, and Treatment of Hypertension in Adults and Children.

Autor: Nerenberg KA; Division of General Internal Medicine, Departments of Medicine, Obstetrics and Gynecology, Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Electronic address: kara.nerenberg@ucalgary.ca., Zarnke KB; O'Brien Institute for Public Health and Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Leung AA; Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary, Calgary, Alberta, Canada., Dasgupta K; Department of Medicine and Centre for Outcomes Research and Evaluation, McGill University and Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada., Butalia S; Departments of Medicine and Community Health Sciences, O'Brien Institute for Public Health and Libin Cardiovascular Institute, Cumming School of Medicine, Calgary, Alberta, Canada., McBrien K; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Harris KC; Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada., Nakhla M; Department of Medicine and Centre for Outcomes Research and Evaluation, McGill University and Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada., Cloutier L; Department of Nursing, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada., Gelfer M; Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada., Lamarre-Cliche M; Université de Montréal, Montréal, Quebec, Canada., Milot A; Department of Medicine, Université Laval, Québec, Quebec, Canada., Bolli P; McMaster University, Hamilton, Ontario, Canada., Tremblay G; CHU-Québec-Hopital St. Sacrement, Québec, Quebec, Canada., McLean D; Alberta Health Services and Covenant Health, Edmonton, Alberta, Canada., Padwal RS; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Tran KC; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Grover S; McGill Comprehensive Health Improvement Program (CHIP), Montreal, Quebec, Canada., Rabkin SW; Vancouver Hospital, University of British Columbia, Vancouver, British Columbia, Canada., Moe GW; St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada., Howlett JG; Departments of Medicine and Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada., Lindsay P; Director of Stroke, Heart and Stroke Foundation of Canada, Adjunct Faculty, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada., Hill MD; Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Sharma M; McMaster University, Hamilton Health Sciences, Population Health Research Institute, Hamilton, Ontario, Canada., Field T; University of British Columbia, Vancouver Stroke Program, Vancouver, British Columbia, Canada., Wein TH; McGill University, Stroke Prevention Clinic, Montreal General Hospital, Montreal, Quebec, Canada., Shoamanesh A; McMaster University, Hamilton Health Sciences, Population Health Research Institute, Hamilton, Ontario, Canada., Dresser GK; Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada., Hamet P; Faculté de Médicine, Université de Montréal, Montréal, Quebec, Canada., Herman RJ; Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Burgess E; Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Gryn SE; Department of Medicine, Western University, London, Ontario, Canada., Grégoire JC; Université de Montréal, Institut de cardiologie de Montréal, Montréal, Quebec, Canada., Lewanczuk R; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Poirier L; Institut National d'Excellence en Sante et Services Sociaux, Québec, Quebec, Canada., Campbell TS; Department of Psychology, University of Calgary, Calgary, Alberta, Canada., Feldman RD; Winnipeg Regional Health Authority and the University of Manitoba, Winnipeg, Manitoba, Canada., Lavoie KL; University of Quebec at Montreal (UQAM), Montreal Behavioural Medicine Centre, CIUSSS-NIM, Hôpital du Sacré-Coeur de Montréal, Montréal, Quebec, Canada., Tsuyuki RT; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Honos G; CHUM, University of Montreal, Montreal, Quebec, Canada., Prebtani APH; Internal Medicine, Endocrinology and Metabolism, McMaster University, Hamilton, Ontario, Canada., Kline G; Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary, Calgary, Alberta, Canada., Schiffrin EL; Jewish General Hospital, McGill University, Montreal, Quebec, Canada., Don-Wauchope A; LifeLabs Inc, McMaster University, Hamilton, Ontario, Canada., Tobe SW; University of Toronto, Toronto, Ontario, and Northern Ontario School of Medicine, Sudbury, Ontario, Canada., Gilbert RE; University of Toronto, Division of Endocrinology, St Michael's Hospital, Toronto, Ontario, Canada., Leiter LA; University of Toronto, Division of Endocrinology, St Michael's Hospital, Toronto, Ontario, Canada., Jones C; Department of Medicine, UBC Southern Medical Program, Kelowna, British Columbia, Canada., Woo V; University of Manitoba, Winnipeg, Manitoba, Canada., Hegele RA; Departments of Medicine (Division of Endocrinology) and Biochemistry, Western University, London, Ontario, Canada., Selby P; Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada., Pipe A; University of Ottawa Heart Institute, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada., McFarlane PA; Division of Nephrology, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada., Oh P; University Health Network, Toronto Rehab and Peter Munk Cardiac Centre, Toronto, Ontario, Canada., Gupta M; Department of Medicine, McMaster University, Hamilton, Ontario, and Canadian Collaborative Research Network, Brampton, Ontario, Canada., Bacon SL; Department of Exercise Science, Concordia University, and Montreal Behavioural Medicine Centre, CIUSSS-NIM, Hôpital du Sacré-Coeur de Montréal, Montréal, Quebec, Canada., Kaczorowski J; Department of Family and Emergency Medicine, Université de Montréal and CRCHUM, Montréal, Quebec, Canada., Trudeau L; Division of Internal Medicine, Department of Medicine, McGill University, Montréal, Quebec, Canada., Campbell NRC; Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada., Hiremath S; University of Ottawa and the Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Roerecke M; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada., Arcand J; Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Ontario, Canada., Ruzicka M; Division of Nephrology, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Prasad GVR; University of Toronto, Toronto, Ontario, Canada., Vallée M; Hôpital Maisonneuve-Rosemont, Université de Montréal, Montréal, Quebec, Canada., Edwards C; Division of Nephrology, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Sivapalan P; Division of General Internal Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada., Penner SB; University of Manitoba, Winnipeg, Manitoba, Canada., Fournier A; Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada., Benoit G; Service de néphrologie, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montréal, Quebec, Canada., Feber J; Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada., Dionne J; Department of Pediatrics, Division of Nephrology, University of British Columbia, BC Children's Hospital, Vancouver, British Columbia, Canada., Magee LA; Department of Women and Children's Health, St Thomas' Hospital, London, and Department of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom., Logan AG; Mount Sinai Hospital, Toronto, Ontario, Canada., Côté AM; Université de Sherbrooke, Sherbrooke, Quebec, Canada., Rey E; CHU Sainte-Justine, University of Montreal, Montreal, Quebec, Canada., Firoz T; Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Kuyper LM; University of British Columbia, Vancouver, British Columbia, Canada., Gabor JY; Interlake-Eastern Regional Healthy Authority, Concordia Hospital, Winnipeg, Manitoba, Canada., Townsend RR; Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Rabi DM; Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary, Calgary, Alberta, Canada; Departments of Medicine and Community Health Sciences, O'Brien Institute for Public Health and Libin Cardiovascular Institute, Cumming School of Medicine, Calgary, Alberta, Canada., Daskalopoulou SS; Division of Internal Medicine, Department of Medicine, McGill University, Montréal, Quebec, Canada.
Jazyk: angličtina
Zdroj: The Canadian journal of cardiology [Can J Cardiol] 2018 May; Vol. 34 (5), pp. 506-525. Date of Electronic Publication: 2018 Mar 01.
DOI: 10.1016/j.cjca.2018.02.022
Abstrakt: 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.
(Copyright © 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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