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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Use of Antihypertensive Agents and Association With Risk of Adverse Outcomes in Chronic Kidney Disease: Focus on Angiotensin-Converting Enzyme Inhibitors and Angiotensin Receptor Blockers.
TL;DR: Ang Elliotensin‐converting enzyme inhibitor and angiotensin receptor blocker use decreased, while use of other agents increased with advancing CKD, suggesting use of agents besides angiotenedin‐ Converting enzyme inhibitors or angiotENSin receptor blockers may be associated with suboptimal outcomes in patients with CKD.
Journal ArticleDOI
Isolated Diastolic Hypertension in the UK Biobank: Comparison of ACC/AHA and ESC/NICE Guideline Definitions.
Brian P. McGrath,Prosenjit Kundu,Natalie Daya,Josef Coresh,Elizabeth Selvin,John W. McEvoy,John W. McEvoy,Nilanjan Chatterjee +7 more
TL;DR: The proportion of UK Biobank participants with IDH was significantly higher by the American College of Cardiology/American Heart Association definition compared with the ESC and NICE definitions; however, only the ESC/NICE definition was statistically associated with increased CVD risk.
Journal ArticleDOI
Initial Treatment of Hypertension
TL;DR: The 2017 ACC–AHA Hypertension Guideline redefines hypertension as a systolic blood pressure of 130 mm Hg or more or a diastolicBlood pressure of 80 mm HG or more and lowers the blood‐pressure target to less than 130/80mm Hg.
Journal ArticleDOI
Impact of Self-Monitoring of Blood Pressure on Processes of Hypertension Care and Long-Term Blood Pressure Control.
Kelsey B. Bryant,James P Sheppard,Natalia Ruiz-Negrón,Ian M. Kronish,Valy Fontil,Jordan B. King,Mark J. Pletcher,Kirsten Bibbins-Domingo,Andrew E. Moran,Richard J. McManus,Brandon K. Bellows +10 more
TL;DR: One year of SMBP plus telemonitoring or self‐management increases the likelihood of antihypertensive intensification and could improve BP control rates at 5 years; continuing SMBP for 5 years could further improveBP control.
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ACE inhibitors and ARBs: Managing potassium and renal function
TL;DR: The indications for ACE inhibitors and ARBs are reviewed and advice for managing their adverse effects is offered, particularly declining renal function and hyperkalemia.
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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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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