Similarities and Differences among Recent Hypertension Guidelines

Publisher: Jaypee Infomedia

ISSN: 2454-5996

Source: Hypertension Journal, Vol.1, Iss.1, 2015-07, pp. : 4-12

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Abstract

ABSTRACTHypertension treatment guidelines are intended to provide recommendations to practitioners on key issues such as diagnostic criteria and blood pressure treatment targets, the optimal use of lifestyle changes as well as drug therapy, and the management of co-existing cardiovascular risk factors. Unfortunately, despite several major clinical outcomes trials in hypertension, there is still insufficient evidence to allow firm recommendations in important areas. A major uncertainty with potentially large implications for stroke and cardiovascular event rates is the systolic blood pressure target in people aged 60 years or more: should it be 150 mm Hg or 140 mm Hg? This commentary addresses this and other controversial issues and differences of opinion across the several authoritative guide-lines published in the last few years.AbbreviationsACC: American College of Cardiology; ACCOMPLISH: Avoiding Cardiovascular Events through Combination Therapy in Patients Living with Systolic hypertension; AHA: American Heart Association; ASH: American Society of Hypertension; CDC: Centers for Disease Control; ESC: European Society of Cardiology; ESH: European Society of Hypertension; HYVET: Hypertension in the Very Elderly Trial; INVEST: International Verapamil SR Trandolapril Study; ISH: International Society of Hypertension; JNC: Joint National Committee; NHLBI: National Heart, Lung and Blood Institute; NICE: National Institute for Clinical Excellence; NIH: National Institutes of Health; SHEP: Systolic Hypertension in the Elderly Program; Syst-Eur: Systolic Hypertension in Europe Trial; VALUE: Valsartan Antihypertensive Long-term Use Evaluation.How to cite this articleWeber MA. Similarities and Differences among Recent Hypertension Guidelines. Hypertens J 2015;1(1):4-12.