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

Kara A Nerenberg1, Kelly B Zarnke2, Alexander A Leung3

  • 1Division of General Internal Medicine, Departments of Medicine, Obstetrics and Gynecology, Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.

The Canadian Journal of Cardiology
|May 8, 2018
PubMed

Insights

The 2018 Hypertension Canada guidelines offer updated evidence-based recommendations for managing high blood pressure in adults and children. Key updates include new guidelines for pregnancy, revised stroke treatment targets, and new recommendations for heart failure management.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Public Health

Background:

  • Hypertension Canada annually publishes evidence-based guidelines for hypertension management.
  • The 2018 guidelines consolidate adult and pediatric recommendations and introduce new pregnancy-specific guidelines.
  • Previous guidelines focused on general hypertension management, with specific updates for acute ischemic stroke.

Purpose of the Study:

  • To present the 2018 Hypertension Canada guidelines for the diagnosis, assessment, prevention, and treatment of hypertension.
  • To incorporate new evidence and recommendations into clinical practice for hypertension management.
  • To provide updated guidance on blood pressure monitoring, cardiovascular risk assessment, and pharmacotherapy for heart failure.

Main Methods:

  • Annual review and synthesis of evidence by Hypertension Canada committees.
  • Inclusion of 5 new guidelines and revision of 1 existing guideline.
  • Incorporation of recommendations for validated wrist devices, standardized blood pressure measurement, and specific pharmacologic agents.

Main Results:

  • Combined adult and pediatric guidelines published in one document.
  • New guidelines for pregnancy-specific hypertension.
  • Revised guideline on blood pressure targets for thrombolysis in acute ischemic stroke.
  • Inclusion of wrist devices for blood pressure measurement in individuals with large arm circumference.
  • Guidance on follow-up blood pressure measurements using standardized methods and electronic devices.
  • Emphasis on global cardiovascular risk assessment for all individuals with hypertension.
  • Recommendation for angiotensin receptor-neprilysin inhibitor use in specific heart failure patients.

Conclusions:

  • The 2018 guidelines provide comprehensive, updated recommendations for hypertension management.
  • New guidelines address specific populations and conditions, including pregnancy and heart failure.
  • Emphasis on standardized measurement, risk assessment, and advanced pharmacotherapy aims to improve patient outcomes.

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