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February 19, 2015Canadian Journal of CardiologyOpen Access

A New Algorithm for the Diagnosis of Hypertension in Canada

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Why the study?

Does a revised diagnostic algorithm using out-of-office blood pressure measurements improve the accurate diagnosis of hypertension compared to routine auscultatory measurements?

Population

Individuals being evaluated for hypertension

Comparison

Revised diagnostic algorithm using validated… vs Auscultatory measurements in routine clinical…

Design

Guideline

Authors

LCLyne CloutierAssociation of American Colleges and UniversitiesSDStella S. DaskalopoulouUniversity of LondonRPRaj PadwalPreventive Cardiology

Discussion

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Implication

Shifts clinical BP assessment to validated devices and out-of-office confirmation; extends guidelines by prioritizing diagnostic accuracy over routine auscultation.

Structured PICO

Does a revised diagnostic algorithm using out-of-office blood pressure measurements improve the accurate diagnosis of hypertension compared to routine auscultatory measurements?

P
Population
Individuals being evaluated for hypertension
I
Intervention
Revised diagnostic algorithm using validated electronic digital oscillometric devices and out-of-office blood pressure measurements (ambulatory or home)
C
Comparator
Auscultatory measurements in routine clinical settings
O
Outcome
Accurate diagnosis of hypertension and identification of white coat hypertension

A revised Canadian algorithm recommends replacing routine auscultatory blood pressure measurements with validated electronic devices and out-of-office monitoring to accurately diagnose hypertension and identify white coat hypertension.

Cite This Study

Cloutier et al. (2015) studied this question.

synapsesocial.com/papers/6a6fd0555d37378ac1dcdf7chttps://doi.org/10.1016/j.cjca.2015.02.014

Topics

Hypertension management
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