2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines
Paul K. Whelton,Robert M. Carey,Wilbert S. Aronow,Donald E. Casey,Karen J. Collins,Cheryl Dennison Himmelfarb,Sondra M. DePalma,Samuel S. Gidding,Kenneth Jamerson,Daniel W. Jones,Eric J. MacLaughlin,Paul Muntner,Bruce Ovbiagele,Sidney C. Smith,Crystal C. Spencer,Randall S. Stafford,Sandra J. Taler,Randal J. Thomas,Kim A. Williams,Jeff D. Williamson,Jackson T. Wright +20 more
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Since 1980, the American College of Cardiology and American Heart Association have translated scientific evidence into clinical practice guidelines (guidelines) with recommendations to improve cardiovascular health.Abstract:
Since 1980, the American College of Cardiology (ACC) and American Heart Association (AHA) have translated scientific evidence into clinical practice guidelines (guidelines) with recommendations to improve cardiovascular health. In 2013, the National Heart, Lung, and Blood Institute (NHLBI) Advisoryread more
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COVID19 and increased mortality in African Americans: socioeconomic differences or does the renin angiotensin system also contribute?
Michael Doumas,Dimitrios Patoulias,Alexandra Katsimardou,Konstantinos Stavropoulos,Konstantinos Imprialos,Asterios Karagiannis +5 more
TL;DR: The higher mortality rate in African–Americans raises questions about the underlying mechanisms behind these racial disparities, and it is proposed that another mechanism might be also implicated: the renin-angiotensin system.
Journal ArticleDOI
Changing definition of hypertension in guidelines: how innocent a number game?
TL;DR: The new ACC/AHA definition of hypertension is that it gives these numbers a significance that they do not deserve and the inevitable implication of introducing limits is that if a patient scores just above or below 130/80 mmHg the authors' advice should be different.
Journal ArticleDOI
Effect of peer support interventions on cardiovascular disease risk factors in adults with diabetes: a systematic review and meta-analysis
Sonal J. Patil,Todd M. Ruppar,Richelle J. Koopman,Erik J Lindbloom,Susan G. Elliott,David R. Mehr,Vicki S. Conn +6 more
TL;DR: A small (2 mmHg) positive effect of peer support interventions on systolic blood pressure in adults with diabetes whose baseline blood pressure was on average minimally elevated is found.
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Incorporating the patient-centered approach into clinical practice helps improve quality of care in cases of hypertension: a retrospective cohort study
Nida Buawangpong,Kanokporn Pinyopornpanish,Wichuda Jiraporncharoen,Nisachol Dejkriengkraikul,Pakorn Sagulkoo,Chanapat Pateekhum,Chaisiri Angkurawaranon +6 more
TL;DR: Whether the implementation of a patient-centered approach in health care delivery can improve adhering to guidelines and the quality-of-care in Thailand is investigated.
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Depressive symptom trajectories and physical health: Persistence of problems from adolescence to young adulthood.
TL;DR: Early treatment of depressive symptoms that includes strategies addressing physical symptoms, physical self-concept, and physical activity may prove beneficial and Screening youth for physical symptoms and declines in health-promoting behaviors may also identify youth at risk of depression onset and progression.
References
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Measuring inconsistency in meta-analyses
TL;DR: A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
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Bias in meta-analysis detected by a simple, graphical test
TL;DR: Funnel plots, plots of the trials' effect estimates against sample size, are skewed and asymmetrical in the presence of publication bias and other biases Funnel plot asymmetry, measured by regression analysis, predicts discordance of results when meta-analyses are compared with single large trials.
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Quantifying heterogeneity in a meta‐analysis
TL;DR: It is concluded that H and I2, which can usually be calculated for published meta-analyses, are particularly useful summaries of the impact of heterogeneity, and one or both should be presented in publishedMeta-an analyses in preference to the test for heterogeneity.
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The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.
Aram V. Chobanian,George L. Bakris,Henry R. Black,William C. Cushman,Lee A. Green,Joseph L. Izzo,Daniel W. Jones,Barry J. Materson,Suzanne Oparil,Jackson T. Wright,Edward J. Roccella +10 more
TL;DR: The most effective therapy prescribed by the most careful clinician will control hypertension only if patients are motivated, and empathy builds trust and is a potent motivator.
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The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials
Julian P T Higgins,Douglas G. Altman,Peter C Gøtzsche,Peter Jüni,David Moher,Andrew D Oxman,Jelena Savović,Kenneth F. Schulz,Laura Weeks,Jonathan A C Sterne +9 more
TL;DR: The Cochrane Collaboration’s tool for assessing risk of bias aims to make the process clearer and more accurate.
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