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
TLDR
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
Citations
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Diagnosis and Treatment of Hypertension in the 2017 ACC/AHA Guidelines and in the Real World.
TL;DR: The guidelines reinforce the message that inexpensive drugs (eg, thiazides) are excellent first-line choices; however, to attain the lower blood pressure target, unavoidably, many patients will require combinations of multiple drugs, potentially including some expensive ones.
Journal ArticleDOI
Clinical Performance Measures for Adults Hospitalized With Intracerebral Hemorrhage: Performance Measures for Healthcare Professionals From the American Heart Association/American Stroke Association.
Eric E. Smith,Jeffrey L. Saver,David N. Alexander,Karen L. Furie,L. Nelson Hopkins,Irene L. Katzan,Jason Mackey,Elaine L. Miller,Lee H. Schwamm,Linda S. Williams +9 more
TL;DR: As steward of the professional guidelines for stroke care, with a large group of volunteer expert clinicians with expertise in guideline creation and performance measurement, the AHA/ASA is uniquely positioned to develop high-quality stroke care guidelines.
Journal ArticleDOI
Cardiovascular Disease and Risk Management: Review of the American Diabetes Association Standards of Medical Care in Diabetes 2018
James J. Chamberlain,Eric L. Johnson,Sandra Leal,Andrew S. Rhinehart,Jay H. Shubrook,Lacie Peterson +5 more
TL;DR: The 2018 American Diabetes Association (ADA) Standards of Medical Care recommend that cardiovascular risk factors be assessed at least annually in all patients with diabetes, and hypertension should be measured at every routine clinical visit.
Journal ArticleDOI
Relationship Between Bone Mineral Density T-Score and Nonvertebral Fracture Risk Over 10 Years of Denosumab Treatment
Serge Ferrari,Cesar Libanati,Celia Jow Fang Lin,Jacques P. Brown,Felicia Cosman,Edward Czerwiński,L. H. de Gregόrio,J. Malouf-Sierra,Jean-Yves Reginster,A. Wang,Rachel B. Wagman,E. M. Lewiecki +11 more
TL;DR: The notion of a specific T‐score threshold as a practical target for therapy in osteoporosis, based on the percentages of women who achieved a range of T‐scores at the total hip or femoral neck over 10 years of denosumab treatment, is supported.
Journal ArticleDOI
Effect of Home Blood Pressure Monitoring via a Smartphone Hypertension Coaching Application or Tracking Application on Adults With Uncontrolled Hypertension: A Randomized Clinical Trial
Stephen D. Persell,Yaw A. Peprah,Dawid Lipiszko,Ji Young Lee,Jim Jun Li,Jody D. Ciolino,Kunal N. Karmali,Hironori Sato +7 more
TL;DR: In this randomized clinical trial of 297 adults with uncontrolled hypertension, participants randomized to a smartphone coaching app did not have lower blood pressure at 6 months compared with those receiving a blood pressure tracking app.
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
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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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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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