Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“We're excited about these guidelines. We think that they will empower clinicians. We think they'll empower adults, especially those with elevated and high blood pressure, [but] also those with normal blood pressure who want to prevent going into that elevated sphere. We're confident that if the guideline is implemented it will improve the cardiovascular health of our adult community in the United States.”
“There has been a certain complacency about blood pressure treatment. We've done a better job of getting people on statins, and now the question is: can we get blood pressure treatment to be as good? It hasn't been as good historically. A smaller percentage of people with hypertension are actually at goal than the groups that we treat for lipids, and I think we're going to need to do better. It's much harder to treat hypertension, and this will help people to be empowered to do a better job.”
“There's been an accumulation of evidence to suggest that lower blood pressure targets provide some benefits. However, they also carry some increased risks. In balancing the benefits and risks, the guideline writers tilted toward the more aggressive targets. That's generally reasonable for many people, but not necessarily for all.”
Supports updated hypertension prevention and management in adults; extends prior recommendations via systematic evidence synthesis.
ACC/AHA TASK FORCE MEMBERS Glenn N. Levine, MD, FACC, FAHA, Chair; Patrick T. O’Gara, MD, MACC, FAHA, Chair-Elect; Jonathan L. Halperin, MD, FACC, FAHA, Immediate Past Chair; Sana M. Al-Khatib, MD, MHS, FACC, FAHA; Joshua A. Beckman, MD, MS, FAHA; Kim K. Birtcher, MS, PharmD, AACC; Biykem Bozkurt, MD, PhD, FACC, FAHA***; Ralph G. Brindis, MD, MPH, MACC***; Joaquin E. Cigarroa, MD, FACC; Lesley H. Curtis, PhD, FAHA***; Anita Deswal, MD, MPH, FACC, FAHA; Lee A. Fleisher, MD, FACC, FAHA; Federico Gentile, MD, FACC; Samuel Gidding, MD, FAHA***; Zachary D. Goldberger, MD, MS, FACC, FAHA; Mark A. Hlatky, MD, FACC, FAHA; John Ikonomidis, MD, PhD, FAHA; José A. Joglar, MD, FACC, FAHA; Laura Mauri, MD, MSc, FAHA; Susan J. Pressler, PhD, RN, FAHA***; Barbara Riegel, PhD, RN, FAHA; Duminda N. Wijeysundera, MD, PhD
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Whelton et al. (2018) studied High Blood Pressure. The 2017 ACC/AHA guidelines provide comprehensive recommendations for the prevention, detection, evaluation, and management of high blood pressure in adults.
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