Ambiguities in the Guidelines for the Management of Arterial Hypertension: Indian Perspective with a Call for Global Harmonization
| Autor: | A. P. S. Hungin, Harmeet Singh Rehan, Abhinav Grover |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pediatrics
medicine.medical_specialty Population Alternative medicine MEDLINE India Nice Blood Pressure Guidelines as Topic 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Asian People Internal Medicine medicine Humans 030212 general & internal medicine education Antihypertensive Agents Societies Medical Thiazide computer.programming_language education.field_of_study business.industry Blood Pressure Determination Evidence-based medicine Blood pressure Family medicine Hypertension business computer medicine.drug |
| Zdroj: | Current Hypertension Reports. 19 |
| ISSN: | 1534-3111 1522-6417 |
| DOI: | 10.1007/s11906-017-0715-4 |
| Popis: | Many medical professional societies have formulated guidelines to treat hypertension, but there existed differences with respect to diagnosis, blood pressure (BP) targets, pharmacotherapy of hypertension, and grades of evidence. A MEDLINE search for hypertension guidelines was performed to compare Indian guidelines for hypertension (IGH) with these guidelines. A majority of the guidelines had consensus on the cutoff value (140/90 mmHg, recorded twice) to diagnose hypertension. The Joint National Committee 8 (JNC 8), IGH, Japanese Society of hypertension (JSH), Canadian Hypertension Education Program (CHEP), and American Society of Hypertension/International Society of Hypertension (ASH/ISH) guidelines provide a higher BP target for the elderly hypertensive populations, while the National Institute for Health and Care Excellence (NICE) and European Society of Hypertension (ESH) guidelines provided a lower BP target for the elderly patients. However, a meta-analysis showed benefits of having a systolic BP target of |
| Databáze: | OpenAIRE |
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