Impact of the new criteria of the ACC/AHA on the diagnostic prevalence of hypertension.

Autor:	Baena Díez JM; Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España; IDIAP Jordi Gol, Institut Catalá de la Salut , Barcelona, España. Electronic address: josemibaena@gmail.com., Carrera Morodo M; Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España., Corral Roca M; Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España., Calatayud Subías E; Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España., Flores Jiménez I; Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España., de la Arada Acebes AM; Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Medicina clinica [Med Clin (Barc)] 2020 Apr 10; Vol. 154 (7), pp. 254-256. Date of Electronic Publication: 2019 Aug 31.
DOI:	10.1016/j.medcli.2019.06.021
Abstrakt:	Objective: To study the impact on the prevalence of hypertension with the criteria (2017) of the American College of Cardiology/American Heart Association (ACC/AHA). Patients and Methods: Cross-sectional study, including 370 patients ≥18 years, randomly selected in a Health Centre, with at least one visit and a measurement of systolic (SBP) and diastolic blood pressure (DBP) recorded the last 2 years. Previous hypertension was considered if the diagnosis was confirmed or they had an SBP ≥140 or DBP ≥90mmHg and as ACC/AHA AHT criteria in any of these cases or an SBP between 130-139mmHg or DBP between 80-89mmHg. Results: The average age was 52.3 years (58.6% women). Forty-one point nine percent had previous hypertension, increasing to 67.8% with the ACC/AHA criteria (p <.05). Pharmacological treatment was received by 32.2% of the population, increasing to 38.4% with the ACC/AHA criteria (p>.05). The newly diagnosed patients (p <.05) were younger (mean difference 19.6 years) and less obese (23% vs. 41.4%). Conclusions: The ACC/AHA criteria would represent an increase of 25.9% in the prevalence of hypertension, considering 2 out of 3 adults hypertensive. (Copyright © 2019 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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