The 2014 Canadian Hypertension Education Program Recommendations for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension

被引：204

作者：

Dasgupta, Kaberi ^{[1
]}

Quinn, Robert R. ^{[2
,3
]}

Zarnke, Kelly B. ^{[4
]}

Rabi, Doreen M. ^{[5
,6
,7
]}

Ravani, Pietro

Daskalopoulou, Stella S.

Rabkin, Simon W. ^{[8
]}

Trudeau, Luc ^{[9
]}

Feldman, Ross D. ^{[10
]}

Cloutier, Lyne ^{[11
]}

Prebtani, Ally ^{[12
]}

Herman, Robert J. ^{[13
]}

Bacon, Simon L. ^{[14
,15
]}

Gilbert, Richard E. ^{[16
]}

Ruzicka, Marcel ^{[17
]}

Mckay, Donald W. ^{[18
]}

Campbell, Tavis S. ^{[19
]}

Grover, Steven ^{[20
]}

Honos, George ^{[21
]}

Schiffrin, Ernesto L. ^{[22
,23
]}

Bolli, Peter ^{[24
]}

Wilson, Thomas W. ^{[25
]}

Lindsay, Patrice ^{[26
]}

Hill, Michael D. ^{[27
]}

Coutts, Shelagh B. ^{[27
,28
]}

Gubitz, Gord ^{[29
]}

Gelfer, Mark ^{[30
]}

Vallee, Michel ^{[31
]}

Prasad, G. V. Ramesh ^{[32
]}

Lebel, Marcel ^{[33
]}

McLean, Donna ^{[34
]}

Arnold, J. Malcolm O. ^{[10
]}

Moe, Gordon W. ^{[35
]}

Howlett, Jonathan G. ^{[36
]}

Boulanger, Jean-Martin ^{[37
]}

Larochelle, Pierre ^{[38
]}

Leiter, Lawrence A. ^{[32
,39
]}

Jones, Charlotte ^{[40
]}

Ogilvie, Richard I. ^{[41
,42
]}

Woo, Vincent ^{[43
]}

Kaczorowski, Janusz ^{[21
,44
]}

Burns, Kevin D. ^{[45
]}

Petrella, Robert J. ^{[46
]}

Hiremath, Swapnil ^{[47
]}

Milot, Alain ^{[33
]}

Stone, James A. ^{[48
]}

Drouin, Denis ^{[49
]}

Lavoie, Kim L. ^{[50
]}

Lamarre-Cliche, Maxime ^{[38
]}

Tremblay, Guy ^{[51
]}

机构：

[1] McGill Univ, Ctr Hlth, Dept Med, Div Gen Internal Med Clin Epidemiol & Endocrinol, Montreal, PQ H3A 1A1, Canada

[2] Univ Calgary, Dept Med, Div Nephrol, Foothills Med Ctr, Calgary, AB, Canada

[3] Univ Calgary, Foothills Med Ctr, Dept Community Hlth Sci, Calgary, AB, Canada

[4] Univ Calgary, Div Gen Internal Med, Calgary, AB, Canada

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

[6] Univ Calgary, Dept Community Hlth, Calgary, AB, Canada

[7] Univ Calgary, Dept Cardiac Sci, Calgary, AB, Canada

[8] Univ British Columbia, Vancouver Hosp, Vancouver, BC V5Z 1M9, Canada

[9] McGill Univ, Div Internal Med, Montreal, PQ H3A 1A1, Canada

[10] Univ Western Ontario, London, ON, Canada

[11] Univ Quebec Trois Rivieres, Trois Rivieres, PQ GA9 5H7, Canada

[12] McMaster Univ, Hamilton, ON, Canada

[13] Univ Calgary, Calgary, AB, Canada

[14] Concordia Univ, Montreal Behav Med Ctr, Montreal, PQ, Canada

[15] Hop Sacre Coeur, Montreal, PQ H4J 1C5, Canada

[16] Univ Toronto, St Michaels Hosp, Div Endocrinol, Toronto, ON, Canada

[17] Univ Ottawa, Div Nephrol, Dept Med, Ottawa Hosp Res Inst, Ottawa, ON, Canada

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

[19] Univ Calgary, Dept Psychol, Calgary, AB T2N 1N4, Canada

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

[21] Univ Montreal, Montreal, PQ, Canada

[22] McGill Univ, Jewish Gen Hosp, Dept Med, Montreal, PQ H3A 1A1, Canada

[23] McGill Univ, Jewish Gen Hosp, Lady Davis Inst Med Res, Montreal, PQ H3A 1A1, Canada

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

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

[26] Heart & Stroke Fdn, Toronto, ON, Canada

[27] Univ Calgary, Hotchkiss Brain Inst, Dept Clin Neurosci, Calgary, AB, Canada

[28] Univ Calgary, Hotchkiss Brain Inst, Dept Radiol, Calgary, AB, Canada

[29] Dalhousie Univ, Halifax Infirm, Div Neurol, Halifax, NS, Canada

[30] Univ British Columbia, Copeman Healthcare Ctr, Dept Family Med, Vancouver, BC V5Z 1M9, Canada

[31] Univ Montreal, Hop Maison Neuve Rosemont, Montreal, PQ, Canada

[32] Univ Toronto, Toronto, ON, Canada

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

[34] Univ Alberta, Edmonton, AB, Canada

[35] Univ Toronto, St Michaels Hosp, Toronto, ON, Canada

[36] Univ Calgary, Dept Med, Calgary, ON, Canada

[37] Univ Sherbrooke, Charles LeMoyne Hosp Res Ctr, Sherbrooke, PQ J1K 2R1, Canada

[38] Univ Montreal, Inst Rech Clin Montreal, Montreal, PQ, Canada

[39] St Michaels Hosp, Li Ka Shing Knowledge Inst, Keenan Res Ctr, Toronto, ON M5B 1W8, Canada

[40] Univ British Columbia, Southern Med Program, Kelowna, BC, Canada

[41] Univ Toronto, Univ Hlth Network, Dept Med, Toronto, ON, Canada

[42] Univ Toronto, Dept Pharmacol, Toronto, ON, Canada

[43] Univ Manitoba, Winnipeg, MB, Canada

[44] CHUM, Montreal, PQ, Canada

[45] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[46] Univ Western Ontario, Dept Family Med, London, ON, Canada

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

[48] Univ Calgary, Dept Med, Div Cardiol, Calgary, AB, Canada

[49] Univ Laval, Fac Med, Quebec City, PQ G1K 7P4, Canada

[50] Univ Quebec Montreal UQAM, Dept Psychol, Montreal, PQ, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2014年 / 30卷 / 05期

关键词：

PART; 2; DIETARY PATTERNS; INTRACEREBRAL HEMORRHAGE; CARDIOVASCULAR EVENTS; MYOCARDIAL-INFARCTION; RANDOMIZED-TRIALS; MANAGEMENT; THERAPY; DISEASE; TARGETS;

D O I：

10.1016/j.cjca.2014.02.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Herein, updated evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in Canadian adults are detailed. For 2014, 3 existing recommendations were modified and 2 new recommendations were added. The following recommendations were modified: (1) the recommended sodium intake threshold was changed from <= 1500 mg (3.75 g of salt) to approximately 2000 mg (5 g of salt) per day; (2) a pharmacotherapy treatment initiation systolic blood pressure threshold of >= 160 mm Hg was added in very elderly (age >= 80 years) patients who do not have diabetes or target organ damage (systolic blood pressure target in this population remains at < 150 mm Hg); and (3) the target population recommended to receive low-dose acetylsalicylic acid therapy for primary prevention was narrowed from all patients with controlled hypertension to only those >= 50 years of age. The 2 new recommendations are: (1) advice to be cautious when lowering systolic blood pressure to target levels in patients with established coronary artery disease if diastolic blood pressure is <= 60 mm Hg because of concerns that myocardial ischemia might be exacerbated; and (2) the addition of glycated hemoglobin (A1c) in the diagnostic work-up of patients with newly diagnosed hypertension. The rationale for these recommendation changes is discussed. In addition, emerging data on blood pressure targets in stroke patients are discussed; these data did not lead to recommendation changes at this time. The Canadian Hypertension Education Program recommendations will continue to be updated annually.

引用

页码：485 / 501

页数：17

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