Why the study?
Does the application of the 2017 ACC/AHA guidelines compared to the 2018 ESC/ESH guidelines increase the estimated prevalence of hypertension and treatment recommendations in Spanish adults?
Population
12,074 individuals representative of the population aged at least 18 years in Spain
Comparison
2017 American College of Cardiology/American… vs 2018 European Society of Cardiology/European…
Design
Cross-sectional
Key result
Applying the 2017 ACC/AHA guidelines instead of the 2018 ESC/ESH guidelines increased the estimated prevalence of hypertension from 33.1% to 46.9% among adults in Spain.
Authors
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May increase the population labeled hypertensive in Spain; leaves open whether lower thresholds improve outcomes or increase overtreatment.
Cross-Sectional (n=12,074)
Yes
Does the application of the 2017 ACC/AHA guidelines compared to the 2018 ESC/ESH guidelines increase the estimated prevalence of hypertension and treatment recommendations in Spanish adults?
Applying the 2017 ACC/AHA hypertension guidelines in Spain would classify 46.9% of adults as hypertensive, compared to 33.1% under the 2018 ESC/ESH guidelines, significantly increasing the population recommended for treatment.
Absolute Event Rate: 46.9% vs 33.1%
Gijón‐Conde et al. (2019) conducted a cross-sectional in Hypertension (n=12,074). 2017 ACC/AHA guideline vs. 2018 ESC/ESH guideline was evaluated on Hypertension prevalence. Applying the 2017 ACC/AHA guidelines instead of the 2018 ESC/ESH guidelines increased the estimated prevalence of hypertension from 33.1% to 46.9% among adults in Spain.