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アメリカン・カレッジ・オブ・カーディオロジー/アメリカン・ハート・アソシエーションと欧州心臓病学会/欧州高血圧学会 血圧/高血圧に関するガイドライン:比較,反省,勧告
Paul K Whelton1,2, Robert M Carey3, Giuseppe Mancia4
1Department of Epidemiology (P.K.W., J.D.B.), Tulane University School of Public Health and Tropical Medicine, New Orleans, LA.
Circulation
|August 11, 2022
PubMed で要約を見る
まとめ
高血圧管理に関する2017年ACC/AHAと2018年ESC/ESHのガイドラインは,大きな合意を示しています. 重要な違いは診断基準と治療の強度であり,世界的な高血圧治療を改善するためにさらなる調和を求める.
科学分野:
- 心臓病科
- 高血圧管理
- クリニカル・プラクティスのガイドライン
背景:
- 2017年のアメリカ心臓学会/アメリカ心臓協会 (ACC/AHA) と2018年の欧州心臓学会/欧州高血圧学会 (ESC/ESH) のガイドラインは,高血圧の管理に影響力があります.
- 2つの文書は厳格なプロセスと広範なピアレビューによって開発されました.
研究 の 目的:
- 高血圧管理のための2017年ACC/AHAと2018年ESC/ESHのガイドラインを比較して比較する.
- ガイドラインの一致点と相違点を特定する.
- グローバル・インパクトのための将来のガイドラインの調和の重要性を強調する.
主な方法:
- 2017年ACC/AHAと2018年ESC/ESHの臨床実務ガイドラインの比較分析
- 診断基準と治療勧告の主要な違いを特定する.
- 2つのガイドラインセットの全体的な一致性の評価
主要な成果:
- 高血圧の診断のための血圧カットポイントには顕著な違いがあります.
- ACC/AHAのガイドラインは,ESC/ESHのガイドラインと比較して,より集中的な治療法を提案しています.
- この2つのガイドラインは,前回の2つのガイドラインよりもかなり一致しています.
関連する概念動画
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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01:25Errors occurring during blood pressure monitoring
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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
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01:18Hypertension and Regulation of Blood Pressure
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Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
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01:28Hypertension I: Introduction
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Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
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01:28Special considerations while measuring blood pressure
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
46
結論:
- 診断基準と治療の強度の違いにも関わらず,ガイドラインは大きな合意を示しています.
- 将来の高血圧ガイドラインの更なる調和は,主要な勧告を強化することができます.
- 調和の取れた取り組みは 実践の変化を加速させ,高血圧の予防,認知,治療,制御を 世界的に改善できます