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

被引：75

作者：

Quinn, Robert R. ^{[1
]}

Hemmelgarn, Brenda R. ^{[1
]}

Padwal, Raj S. ^{[2
]}

Myers, Martin G. ^{[3
]}

Cloutier, Lyne ^{[4
]}

Bolli, Peter ^{[5
]}

McKay, Donald W. ^{[6
]}

Khan, Nadia A. ^{[7
]}

Hill, Michael D. ^{[8
,9
,10
]}

Mahon, Jeff ^{[11
]}

Hackam, Daniel G. ^{[11
]}

Grover, Steven ^{[12
]}

Wilson, Thomas ^{[13
]}

Penner, Brian ^{[14
]}

Burgess, Ellen ^{[1
]}

McAlister, Finlay A. ^{[2
]}

Lamarre-Cliche, Maxime ^{[15
]}

McLean, Donna ^{[16
]}

Schiffrin, Ernesto L. ^{[17
]}

Honos, George ^{[18
]}

Mann, Karen ^{[19
]}

Tremblay, Guy ^{[20
]}

Milot, Alain ^{[21
]}

Chockalingam, Arun ^{[22
]}

Rabkin, Simon W. ^{[23
]}

Dawes, Martin ^{[24
]}

Touyz, Rhian M. ^{[25
]}

Burns, Kevin D. ^{[26
]}

Ruzicka, Marcel ^{[26
]}

Campbell, Norman R. C. ^{[9
,10
,27
]}

Vallee, Michel ^{[28
]}

Prasad, G. V. Ramesh ^{[29
]}

Lebel, Marcel ^{[30
]}

Tobe, Sheldon W. ^{[29
]}

机构：

[1] Univ Calgary, Div Nephrol, Calgary, AB, Canada

[2] Univ Alberta, Div Gen Internal Med, Edmonton, AB, Canada

[3] Sunnybrook Hlth Sci Ctr, Div Cardiol, Toronto, ON M4N 3M5, Canada

[4] Univ Quebec Trois Rivieres, Dept Nursing, Quebec City, PQ, Canada

[5] Ambulatory Internal Med Teaching Clin, St Catharines, ON, Canada

[6] Mem Univ Newfoundland, Fac Med, St John, NF, Canada

[7] Univ British Columbia, Div Gen Internal Med, Vancouver, BC V5Z 1M9, Canada

[8] Univ Calgary, Dept Clin Neurosci, Calgary, AB, Canada

[9] Univ Calgary, Dept Med, Calgary, AB, Canada

[10] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[11] Univ Western Ontario, Dept Med & Endocrinol, London, ON, Canada

[12] Montreal Gen Hosp, Div Clin Epidemiol, Montreal, PQ H3G 1A4, Canada

[13] Univ Saskatchewan, Dept Med, Saskatoon, SK S7N 0W0, Canada

[14] Univ Manitoba, Dept Pharmacol & Therapeut, Winnipeg, MB, Canada

[15] Inst Rech Clin Montreal, Montreal, PQ H2W 1R7, Canada

[16] Univ Alberta, Fac Nursing, Edmonton, AB, Canada

[17] McGill Univ, Dept Med, Sir Mortimer B Davis Jewish Gen Hosp, Montreal, PQ, Canada

[18] Sir Mortimer B Davis Jewish Hosp, Div Cardiol, Montreal, PQ, Canada

[19] Dalhousie Univ, Div Med Educ, Halifax, NS, Canada

[20] Hop St Sacrement, Serv Cardiol, CHAuQ, Quebec City, PQ, Canada

[21] Univ Laval, Dept Med, Quebec City, PQ G1K 7P4, Canada

[22] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC V5A 1S6, Canada

[23] Univ British Columbia, Div Cardiol, Vancouver, BC V5Z 1M9, Canada

[24] McGill Univ, Dept Family Med, Quebec City, PQ, Canada

[25] Univ Ottawa, Ottawa Hosp Res Inst, Ottawa, ON, Canada

[26] Univ Ottawa, Div Nephrol, Ottawa, ON, Canada

[27] Univ Calgary, Dept Pharmacol & Therapeut, Calgary, AB, Canada

[28] Univ Montreal, Div Nephrol, Hop Maison Neuve Rosemont, Montreal, PQ, Canada

[29] Univ Toronto, Div Nephrol, Toronto, ON, Canada

[30] Univ Laval, Dept Med, CHU Quebec, Hotel Dieu Quebec, Quebec City, PQ G1K 7P4, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2010年 / 26卷 / 05期

关键词：

Blood pressure; Diagnosis; Guidelines; High blood pressure; Hypertension; Risk factors; CARDIOVASCULAR-DISEASE; 10-YEAR RISK; VALIDATION; MORTALITY; COUNTRIES; IMPROVES; PROFILE; SCORES;

D O I：

10.1016/S0828-282X(10)70378-0

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 tinder 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.

引用

页码：241 / 248

页数：8

共 38 条

[31] The 2009 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1-blood pressure measurement, diagnosis and assessment of risk [J].