The 2010 Canadian Hypertension Education Program recommendations for the management of hypertension: Part I ?blood pressure measurement, diagnosis and assessment of risk

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• 作者：Robert R. Quinn ; MD PhD¹ ; ¹ ; ^{rob.quinn@albertahealthservices.ca} ; Brenda R. Hemmelgarn ; MD PhD¹ ; Raj S. Padwal ; MD MSc² ; Martin G. Myers ; MD³ ; Lyne Cloutier ; RN PhD⁴ ; Peter Bolli ; MD⁵ ; Donald W. McKay ; PhD⁶ ; Nadia A. Khan ; MD MSc⁷ ; Michael D. Hill ; MD MSc⁸ ; Jeff Mahon ; MD MSc⁹ ; Daniel G. Hackam ; MD PhD⁹ ; Steven Grover ; MD MPA¹⁰ ; Thomas Wilson ; MD¹¹ ; Brian Penner ; MD¹² ; Ellen Burgess ; MD¹ ; Finlay A. McAlister ; MD MSc² ; Maxime Lamarre-Cliche ; MD¹³ ; Donna McLean ; RN MN NP PhD(c)¹⁴ ; Ernesto L. Schiffrin ; MD PhD¹⁵ ; George Honos ; MD¹⁶ ; Karen Mann ; MSc PhD¹⁷ ; Guy Tremblay ; MD¹⁸ ; Alain Milot ; MD MSc¹⁹ ; Arun Chockalingam ; MS PhD²⁰ ; Simon W. Rabkin ; MD²¹ ; Martin Dawes ; MBBS MD(Lond)²² ; Rhian M. Touyz ; MD PhD²³ ; Kevin D. Burns ; MD²⁴ ; Marcel Ruzicka ; MD PhD²⁴ ; Norman R.C. Campbell ; MD²⁵ ; Michel Vall&eacute ; e ; MD PhD²⁶ ; G.V. Ramesh Prasad ; MBBS MSc²⁷ ; Marcel Lebel ; MD²⁸ ; Sheldon W. Tobe ; MD²⁹ ; for the Canadian Hypertension Education Program
• 关键词：Blood pressure ; Diagnosis ; Guidelines ; High blood pressure ; Hypertension ; Risk factors
• 刊名：Canadian Journal of Cardiology
• 出版年：2010
• 出版时间：May 2010
• 年：2010
• 卷：26
• 期：5
• 页码：241-248
• 全文大小：225 K

文摘

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Objective

To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.

Evidence

MEDLINE searches were conducted from November 2008 to October 2009 with the aid of a medical librarian. Reference lists were scanned, experts were contacted, and the personal files of authors and subgroup members were used to identify additional studies. Content and methodological experts assessed studies using prespecified, standardized evidence-based algorithms. Recommendations were based on evidence from peer-reviewed full-text articles only.

Recommendations

Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global cardiovascular risk, diagnostic testing, diagnosis of renovascular and endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Changes to the recommendations for 2010 relate to automated office blood pressure measurements. Automated office blood pressure measurements can be used in the assessment of office blood pressure. When used under proper conditions, an automated office systolic blood pressure of 135 mmHg or higher or diastolic blood pressure of 85 mmHg or higher should be considered analogous to a mean awake ambulatory systolic blood pressure of 135 mmHg or higher and diastolic blood pressure of 85 mmHg or higher, respectively.

Validation

All recommendations were graded according to strength of the evidence and voted on by the 63 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. To be approved, all recommendations were required to be supported by at least 70 % of task force members. These guidelines will continue to be updated annually.