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February 1, 2019Heart AsiaOpen Access

Managing hypertension in 2018: which guideline to follow?

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Key result

A critical review of updated Western hypertension guidelines highlights concerns regarding their clinical applicability to Asian populations due to unique regional features of the disease.

Why the study?

Unique features of hypertension in Asian populations raised concerns regarding the clinical applicability of recent Western guidelines.

Are recent Western hypertension guidelines clinically applicable to Asian populations given their unique cardiovascular risk profiles?

Design

Critical review

Authors

FAFabio AngeliPreventive CardiologyGRGianpaolo ReboldiPreventive CardiologyMTMonica TrapassoUniversity of Insubria

Discussion

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Member takes

Overview

Rising Asian hypertension prevalence warrants intensified regional screening and control; extends global decline data to prioritize Asia-specific strategies.

Structured PICO

Are recent Western hypertension guidelines clinically applicable to Asian populations given their unique cardiovascular risk profiles?

P
Population
Asian hypertensive patients
E
Exposure
Recent hypertension diagnosis and management guidelines from Europe and North America

This review highlights the unique cardiovascular risk profile of Asian hypertensive patients, particularly the stronger link to stroke, and questions the direct applicability of recent Western hypertension guidelines to this population.

Cite This Study

Angeli et al. (2019) conducted a review in Hypertension. Western hypertension guidelines was evaluated. A critical review of updated Western hypertension guidelines highlights concerns regarding their clinical applicability to Asian populations due to unique regional features of the disease.

synapsesocial.com/papers/6a7777062e130d02afec95bchttps://doi.org/10.1136/heartasia-2018-011127
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Blood pressure and cardiovascular disease in the Asia Pacific region2003 · 647 citations
  2. 22018 Practice guidelines for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension2018 · 717 citations
  3. 3A Randomized Trial of Intensive versus Standard Blood-Pressure Control2015 · 6,374 citations
  4. 4Prehypertension and the risk for cardiovascular disease in the Japanese general population: the Jichi Medical School Cohort Study2010 · 53 citations
  5. 5Impact of 2017 ACC/AHA guidelines on prevalence of hypertension and eligibility for antihypertensive treatment in United States and China: nationally representative cross sectional study2018 · 199 citations