Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension

被引:370
作者
Leung, Alexander A. [1 ]
Nerenberg, Kara [2 ,3 ,35 ]
Daskalopoulou, Stella S. [4 ,5 ,6 ]
McBrien, Kerry [7 ,8 ]
Zarnke, Kelly B. [9 ]
Dasgupta, Kaberi [4 ,5 ,6 ]
Cloutier, Lyne [10 ]
Gelfer, Mark [11 ]
Lamarre-Cliche, Maxime [12 ]
Milot, Alain [13 ]
Bolli, Peter [14 ]
Tremblay, Guy [15 ]
McLean, Donna [16 ]
Tobe, Sheldon W. [17 ]
Ruzicka, Marcel [18 ]
Burns, Kevin D. [18 ]
Vallee, Michel [19 ]
Prasad, G. V. Ramesh [17 ]
Lebel, Marcel [13 ]
Feldman, Ross D. [20 ]
Selby, Peter [21 ]
Pipe, Andrew [22 ]
Schiffrin, Ernesto L. [23 ,24 ]
McFarlane, Philip A. [25 ]
Oh, Paul [26 ]
Hegele, Robert A. [27 ,28 ]
Khara, Milan [29 ]
Wilson, Thomas W. [30 ]
Penner, S. Brian [31 ]
Burgess, Ellen [32 ]
Herman, Robert J. [9 ]
Bacon, Simon L. [33 ,34 ]
Rabkin, Simon W. [35 ]
Gilbert, Richard E. [36 ]
Campbell, Tavis S. [37 ]
Grover, Steven [38 ]
Honos, George [39 ]
Lindsay, Patrice [40 ]
Hill, Michael D. [41 ]
Coutts, Shelagh B. [41 ,42 ]
Gubitz, Gord [43 ]
Campbell, Norman R. C. [44 ]
Moe, Gordon W. [45 ]
Howlett, Jonathan G. [32 ,46 ]
Boulanger, Jean-Martin [47 ]
Prebtani, Ally [48 ]
Larochelle, Pierre [12 ]
Leiter, Lawrence A. [49 ,50 ]
Jones, Charlotte [51 ]
Ogilvie, Richard I. [52 ,53 ]
机构
[1] Univ Calgary, Dept Med, Div Endocrinol & Metab, 1820 Richmond Rd SW, Calgary, AB T2T 5C7, Canada
[2] Univ Calgary, Dept Med, Calgary, AB T2T 5C7, Canada
[3] Univ Calgary, Dept Obstet & Gynecol, Calgary, AB, Canada
[4] McGill Univ, Dept Med, McGill Univ Hlth Ctr, Div Gen Internal Med, Montreal, PQ, Canada
[5] McGill Univ, Dept Med, McGill Univ Hlth Ctr, Div Clin Epidemiol, Montreal, PQ, Canada
[6] McGill Univ, Dept Med, McGill Univ Hlth Ctr, Div Endocrinol, Montreal, PQ, Canada
[7] Univ Calgary, Cumming Sch Med, Inst Publ Hlth, Dept Family Med, Calgary, AB, Canada
[8] Univ Calgary, Cumming Sch Med, Inst Publ Hlth, Dept Community Hlth Sci, Calgary, AB, Canada
[9] Univ Calgary, Div Gen Internal Med, Calgary, AB, Canada
[10] Univ Quebec Trois Rivieres, Trois Rivieres, PQ GA9 5H7, Canada
[11] Univ British Columbia, Dept Family Med, Copeman Healthcare Ctr, Vancouver, BC V5Z 1M9, Canada
[12] Univ Montreal, Inst Rech Clin Montreal, Montreal, PQ, Canada
[13] Univ Laval, Dept Med, Quebec City, PQ G1K 7P4, Canada
[14] Ambulatory Internal Med Teaching Clin, St Catharines, ON, Canada
[15] CHU Quebec, Hop St Sacrement, Quebec City, PQ, Canada
[16] Univ Alberta, Edmonton, AB, Canada
[17] Univ Toronto, Toronto, ON, Canada
[18] Univ Ottawa, Dept Med, Ottawa Hosp Res Inst, Div Nephrol, Ottawa, ON, Canada
[19] Univ Montreal, Hop Maison Neuve Rosemont, Montreal, PQ, Canada
[20] Mem Univ Newfoundland, Discipline Med, St John, NF, Canada
[21] Univ Toronto, Ctr Addict & Mental Hlth, Toronto, ON, Canada
[22] Univ Ottawa, Inst Heart, Ottawa, ON, Canada
[23] McGill Univ, Jewish Gen Hosp, Dept Med, Montreal, PQ H3T 1E2, Canada
[24] McGill Univ, Jewish Gen Hosp, Lady Davis Inst Med Res, Montreal, PQ H3T 1E2, Canada
[25] Univ Toronto, St Michaels Hosp, Div Nephrol, Toronto, ON, Canada
[26] Univ Toronto, Univ Hlth Network, Toronto, ON, Canada
[27] Univ Western Ontario, Dept Med, Div Endocrinol, London, ON, Canada
[28] Univ Western Ontario, Dept Biochem, London, ON, Canada
[29] Univ British Columbia, Fac Med, Vancouver Coastal Hlth Addict Serv, Vancouver, BC, Canada
[30] Univ Saskatchewan, Dept Med, Saskatoon, SK S7N 0W0, Canada
[31] Univ Manitoba, Dept Internal Med, Winnipeg, MB, Canada
[32] Univ Calgary, Dept Med, Calgary, AB, Canada
[33] Concordia Univ, Dept Exercise Sci, Montreal, PQ, Canada
[34] Hop Sacre Coeur, Montreal Behav Med Ctr, Montreal, PQ H4J 1C5, Canada
[35] Univ British Columbia, Vancouver Gen Hosp, Vancouver, BC V5Z 1M9, Canada
[36] Univ Toronto, St Michaels Hosp, Div Endocrinol, Toronto, ON, Canada
[37] Univ Calgary, Dept Psychol, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada
[38] Montreal Gen Hosp, Div Clin Epidemiol, 1650 Cedar Ave, Montreal, PQ H3G 1A4, Canada
[39] Univ Montreal, Montreal, PQ, Canada
[40] Heart & Stroke Fdn, Best Practices & Performance, Toronto, ON, Canada
[41] Univ Calgary, Hotchkiss Brain Inst, Dept Clin Neurosci, Calgary, AB, Canada
[42] Univ Calgary, Hotchkiss Brain Inst, Dept Radiol, Calgary, AB, Canada
[43] Dalhousie Univ, Halifax Infirm, Div Neurol, Halifax, NS, Canada
[44] Univ Calgary, Libin Cardiovasc Inst Alberta, Med, Community Hlth Sci,Physiol & Pharmacol, Calgary, AB, Canada
[45] Univ Toronto, St Michaels Hosp, Toronto, ON, Canada
[46] Univ Calgary, Dept Cardiac Sci, Calgary, AB, Canada
[47] Univ Sherbrooke, Charles LeMoyne Hosp Res Ctr, Sherbrooke, PQ J1K 2R1, Canada
[48] McMaster Univ, Hamilton, ON, Canada
[49] St Michaels Hosp, Li Ka Shing Knowledge Inst, Keenan Res Ctr, 30 Bond St, Toronto, ON M5B 1W8, Canada
[50] Univ Toronto, Toronto, ON, Canada
关键词
CARDIOVASCULAR RISK; PART; 2; DIETARY PATTERNS; PRIMARY-CARE; PRIMARY HYPERALDOSTERONISM; AUTOMATED MEASUREMENT; LIPID-LEVELS; RECOMMENDATIONS; MANAGEMENT; TRIAL;
D O I
10.1016/j.cjca.2016.02.066
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hypertension Canada's Canadian Hypertension Education Program Guidelines Task Force provides annually updated, evidence-based recommendations to guide the diagnosis, assessment, prevention, and treatment of hypertension. This year, we present 4 new recommendations, as well as revisions to 2 previous recommendations. In the diagnosis and assessment of hypertension, automated office blood pressure, taken without patient-health provider interaction, is now recommended as the preferred method of measuring in-office blood pressure. Also, although a serum lipid panel remains part of the routine laboratory testing for patients with hypertension, fasting and nonfasting collections are now considered acceptable. For individuals with secondary hypertension arising from primary hyperaldosteronism, adrenal vein sampling is recommended for those who are candidates for potential adrenalectomy. With respect to the treatment of hypertension, a new recommendation that has been added is for increasing dietary potassium to reduce blood pressure in those who are not at high risk for hyperkalemia. Furthermore, in selected high-risk patients, intensive blood pressure reduction to a target systolic blood pressure <= 120 mm Hg should be considered to decrease the risk of cardiovascular events. Finally, in hypertensive individuals with uncomplicated, stable angina pectoris, either a beta-blocker or calcium channel blocker may be considered for initial therapy. The specific evidence and rationale underlying each of these recommendations are discussed. Hypertension Canada's Canadian Hypertension Education Program Guidelines Task Force will continue to provide annual updates.
引用
收藏
页码:569 / 588
页数:20
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