The 2009 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1-blood pressure measurement, diagnosis and assessment of risk
The 2009 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1-blood pressure measurement, diagnosis and assessment of risk
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DOI：
10.1016/s0828-282x(09)70491-x
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发表时间：
2009-05-01
影响因子：
6.2
通讯作者：
Tobe, Sheldon W.
中科院分区：
文献类型：
--
作者：
Padwal, Raj S.;Hemmelgarn, Brenda R.;Tobe, Sheldon W.
目的：为成人高血压的诊断和评估提供最新的循证建议。选择和结局：高血压的诊断取决于适当的血压测量，及时评估连续升高的读数，血压升高的程度，测量方法（办公室，门诊，家庭）和相关的合并症。心血管危险因素和靶器官损伤的存在，应确定评估全球心血管风险，并确定的紧迫性，强度和类型的治疗所需的证据：MEDLINE搜索进行了从2007年11月至2008年10月的医疗图书馆员的帮助。扫描参考文献列表，联系专家，并使用作者和亚组成员的个人档案来识别其他研究。内容和方法学专家使用预先指定的标准化循证算法评估研究。建议的基础上石油的证据，同行评议的完整，文本article.Recommendations：血压测量，高血压诊断和后续标准，评估全球心血管风险，诊断测试，诊断肾血管和内分泌原因的高血压家庭和动态监测，结合使用超声心动图在高血压个体概述。关键信息包括继续强调加快，准确诊断高血压，全球风险评估的重要性和需要持续监测高血压患者，以确定事件2型diabetes.VALIDATION：所有的建议进行了分级，根据证据的强度和投票的加拿大高血压教育计划循证建议工作组的57名成员。所有建议都必须得到至少70%的工作队成员的支持。这些准则将继续每年更新。
OBJECTIVE: TO provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.OPTIONS AND OUTCOMES: The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, the degree of blood pressure elevation, the Method of measurement (office, ambulatory, home) and associated comorbidities. The presence of cardiovascular risk factors and target organ damage should be ascertained to assess global cardiovascular risk and determine the urgency, intensity and type of treatment required.EVIDENCE: MEDLINE searches were conducted from November 2007 to October 2008 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 oil 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, bind the use of echocardiography in hypertensive individuals are outlined. Key messages include continued emphasis on the expedited, accurate diagnosis of hypertension, the importance of global risk assessment and the need for ongoing monitoring of hypertensive patients to identify incident type 2 diabetes.VALIDATION: All recommendations were graded according to strength of the evidence and voted on by the 57 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. All recommendations were required to be supported by at least 70% of task force members. These guidelines will continue to be updated annually.