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June 27, 2019KardiologiiaOpen Access

Applying the 2017 ACC/AHA guidelines to a Russian population aged 25-65 years increased the diagnosed prevalence of arterial hypertension to 72.1%, compared to 50.2% using European guidelines.

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Why the study?

The study sought to assess the prevalence of arterial hypertension, the need for antihypertensive therapy, and therapy efficacy in Russia according to the 2017 ACC/AHA guideline.

Does the application of the 2017 ACC/AHA guidelines compared to ESC guidelines change the prevalence of arterial hypertension and need for therapy in the Russian population?

Population

20 607 Russian residents aged 25-65 years across 12 regions

Comparison

2017 ACC/AHA hypertension criteria vs 2013 and 2018 ESC criteria

Design

Multicenter cross-sectional epidemiological study

Key result

Applying the 2017 ACC/AHA guidelines to a Russian population aged 25-65 years increased the diagnosed prevalence of arterial hypertension to 72.1%, compared to 50.2% using European guidelines.

Authors

АЕА. М. ЕринаORO. P. RotarВСВ. Н. Солнцев

Discussion

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Member takes

Overview

Applying 2017 ACC/AHA criteria would expand AH diagnoses and intensify treatment needs in Russia; leaves open outcome benefits versus European thresholds.

Study Design

Type

Cross-Sectional (n=20,607)

Multicenter

Yes

Structured PICO

Does the application of the 2017 ACC/AHA guidelines compared to ESC guidelines change the prevalence of arterial hypertension and need for therapy in the Russian population?

P
Population
20,607 residents of the Russian Federation aged 25-65 years evaluated for arterial hypertension prevalence according to different diagnostic criteria.
E
Exposure
Application of 2017 ACC/AHA guidelines for diagnosis of arterial hypertension (1st degree: SBP 130-139 and/or DBP 80-89 mm Hg; 2nd degree: BP ≥140/90 mm Hg or AHT).
C
Comparator
Application of 2013/2018 European Society of Cardiology guidelines (BP ≥140/90 mm Hg or AHT).
O
Outcome
Prevalence of arterial hypertension, need for prescription of antihypertensive therapy (AHT), and efficacy of AHT.

Main Result

Absolute Event Rate: 72.1% vs 50.2%

Adopting the 2017 ACC/AHA hypertension guidelines in the Russian Federation would substantially increase the diagnosed prevalence of hypertension and the need for treatment intensification compared to European guidelines.

Cite This Study

Ерина et al. (2019) conducted a cross-sectional in Arterial hypertension (n=20,607). 2017 ACC/AHA guidelines criteria vs. European Society of Cardiology (2013, 2018) guidelines criteria was evaluated on Prevalence of arterial hypertension. Applying the 2017 ACC/AHA guidelines to a Russian population aged 25-65 years increased the diagnosed prevalence of arterial hypertension to 72.1%, compared to 50.2% using European guidelines.

synapsesocial.com/papers/6a93b01a73075f1cdcafdaa5https://doi.org/10.18087/cardio.2019.6.2595
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Also Consider

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

  1. 1Potential US Population Impact of the 2017 ACC/AHA High Blood Pressure Guideline2017 · 977 citations
  2. 2Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants2016 · 2,669 citations
  3. 3Prehypertension and the risk of stroke2014 · 136 citations
  4. 4A Randomized Trial of Intensive versus Standard Blood-Pressure Control2015 · 6,371 citations
  5. 5Diagnosis and Treatment of Hypertension in the 2017 ACC/AHA Guidelines and in the Real World2017 · 96 citations