Key Recs of ACC/AHA 2017 Guidelines on Blood Pressure

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The 2017 guideline uses a different classification system for BP than previous guidelines.
The 2017 guideline uses a different classification system for BP than previous guidelines.

(HealthDay News) -- New recommendations have been developed for the prevention, detection, evaluation, and management of high blood pressure (BP). The recommendations are summarized in an article published online in the Annals of Internal Medicine.

Robert M. Carey, MD, from the University of Virginia Health System in Charlottesville, and Paul K. Whelton, MD, from the Tulane University School of Public Health in New Orleans, summarized the major recommendations of the new American College of Cardiology (ACC) and American Heart Association (AHA) clinical practice guidelines relating to high BP in adults. An ACC- and AHA-appointed committee reviewed the literature and commissioned systematic reviews and meta-analyses relating to BP monitoring, assessment, and management.

The researchers summarized key recommendations in the areas of BP classification, BP measurement, and screening for secondary hypertension. Recommendations also related to nonpharmacologic treatments, use of BP thresholds and cardiac risk estimation to guide pharmacologic treatment, treatment goals, choice of initial pharmacotherapy, resistant hypertension, and strategies for improving control of hypertension.

"The 2017 guideline uses a different classification system for BP than previous guidelines; emphasizes out-of-office BP measurements to confirm the diagnosis of and monitor success in control of hypertension; advocates team-based care and use of the electronic health record and telehealth strategies for improved care; recommends nonpharmacologic interventions; and recommends addition of antihypertensive drug therapy based on a combination of average BP, atherosclerotic cardiovascular disease risk, and comorbid conditions," the authors write.

References

Carey RM and Whelton PK. Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline FREE. Ann Intern Med. 2018. doi: 10.7326/M17-3203

Wilt TJ, Kansagara D, and Qaseem A. Hypertension Limbo: Balancing Benefits, Harms, and Patient Preferences Before We Lower the Bar on Blood Pressure. Ann Intern Med. 2018. 10.7326/M17-3293

Carey RM and Whelton PK. The 2017 American College of Cardiology/American Heart Association Hypertension Guideline: A Resource for Practicing Clinicians. Ann Intern Med. 2018. doi: 10.7326/M18-0025

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