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Hypertension prevalence in Colombian Patients Evaluated with Ambulatory Blood Pressure Monitoring According to

Germán C Giraldo-Gonzalez1, Angela M Victoria2, Carlos E Vesga3

  • 1Clinical Research Center, Fundación Valle del Lili, 760032, Cali, Colombia. german.giraldo@fvl.org.co.

High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension
|June 13, 2020
PubMed

Insights

The latest hypertension guidelines may require pharmacological intervention in 21.5% more individuals, impacting diagnosis and control using ambulatory blood pressure monitoring (ABPM). Individualized treatment is crucial.

Area of Science:

  • Cardiology
  • Hypertension Management

Background:

  • The 2017 ACC/AHA hypertension guidelines introduced lower blood pressure thresholds, posing challenges for diagnosis and treatment adherence in diverse socioeconomic settings.
  • Ambulatory blood pressure monitoring (ABPM) remains the gold standard for accurate hypertension diagnosis and management.

Purpose of the Study:

  • To compare hypertension diagnosis and control using the latest ACC/AHA guidelines against those from ESC/ESH and LASH.
  • To evaluate the impact of differing guideline cut-offs on patient classification and treatment needs.

Main Methods:

  • A retrospective, cross-sectional study analyzed ABPM data from 1957 patients between June 2017 and June 2018.
  • Patient data were compared based on diagnostic criteria from ACC/AHA versus ESC/ESH guidelines.

Main Results:

  • Applying ACC/AHA guidelines resulted in a 21%, 42%, and 24% higher diagnosis rate for 24-h, daytime, and nighttime ABPM, respectively, compared to ESC/ESH.
  • No significant differences in circadian patterns were observed across demographic factors like age and gender.

Conclusions:

  • The ACC/AHA guidelines necessitate pharmacological intervention in an additional 21.5% of the studied population based on 24-h ABPM.
  • Emphasizes the need for individualized treatment strategies in hypertension management.
Abstract

Keywords:
Ambulatory blood pressure monitoringBlood pressureGuidelinesHome blood pressureHypertension

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