The 2017 American College of Cardiology/American Heart Association Hypertension Guideline: A Resource for Practicing Clinicians

Ideas and Opinions6 March 2018The 2017 American College of Cardiology/American Heart Association Hypertension Guideline: A Resource for Practicing CliniciansRobert M. Carey, MD and Paul K. Whelton, MB, MD, MScRobert M. Carey, MDUniversity of Virginia Health System, Charlottesville, Virginia (R.M.C.) and Paul K. Whelton, MB, MD, MScTulane University School of Public Health and Tropical Medicine and Tulane University School of Medicine, New Orleans, Louisiana (P.K.W.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-0025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Hypertension is the leading risk factor for death and disability worldwide (1, 2). The 2017 American College of Cardiology (ACC)/American Heart Association (AHA) Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults (3) is the first comprehensive clinical practice guideline for hypertension since the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) in 2003 (4). The ACC/AHA guideline provides an evidence-based approach to reducing risk for cardiovascular disease (CVD) by controlling blood pressure (BP) (3).Four of the core recommendations for CVD risk reduction ...References1. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224-60. [PMID: 23245609] doi:10.1016/S0140-6736(12)61766-8 CrossrefMedlineGoogle Scholar2. Forouzanfar MH, Liu P, Roth GA, Ng M, Biryukov S, Marczak L, et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990–2015. JAMA. 2017;317:165-182. [PMID: 28097354] doi:10.1001/jama.2016.19043 CrossrefMedlineGoogle Scholar3. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2017. [PMID: 29133356] doi:10.1161/HYP.0000000000000065 CrossrefMedlineGoogle Scholar4. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206-52. [PMID: 14656957] CrossrefMedlineGoogle Scholar5. Muntner P, Carey RM, Gidding S, Jones DW, Taler SJ, Wright JT, et al. Potential U.S. population impact of the 2017 American College of Cardiology/American Heart Association high blood pressure guideline. Circulation. 2017. [PMID: 29133599] doi:10.1161/CIRCULATIONAHA.117.032582 CrossrefMedlineGoogle Scholar6. Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2017. [PMID: 29133354] doi:10.1161/HYP.0000000000000066 CrossrefMedlineGoogle Scholar7. Carey RM, Whelton PK; 2017 ACC/AHA Hypertension Guideline Writing Committee. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association hypertension guideline. Ann Intern Med. 2018;168:351-8. doi:10.7326/M17-3203 LinkGoogle Scholar8. Greenland P. Cardiovascular guideline skepticism vs lifestyle realism? JAMA. 2017. [PMID: 29242938] doi:10.1001/jama.2017.19675 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Virginia Health System, Charlottesville, Virginia (R.M.C.)Tulane University School of Public Health and Tropical Medicine and Tulane University School of Medicine, New Orleans, Louisiana (P.K.W.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-0025.Corresponding Author: Robert M. Carey, MD, University of Virginia Health System, PO Box 801414, Charlottesville, VA 22908-1414.Current Author Addresses: Dr. Carey: University of Virginia Health System, PO Box 801414, Charlottesville, VA 22908-1414.Dr. Whelton: Tulane University School of Public Health and Tropical Medicine and Tulane School of Medicine, 1440 Canal Street, New Orleans, LA 70112.Author Contributions: Conception and design: R.M. Carey, P.K. Whelton.Analysis and interpretation of the data: R.M. Carey, P.K. Whelton.Drafting of the article: R.M. Carey.Critical revision of the article for important intellectual content: R.M. Carey, P.K. Whelton.Final approval of the article: R.M. Carey, P.K. Whelton.Administrative, technical, or logistic support: R.M. Carey, P.K. Whelton.Collection and assembly of data: P.K. Whelton.This article was published at Annals.org on 23 January 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPrevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline Robert M. Carey , Paul K. Whelton , and Hypertension Limbo: Balancing Benefits, Harms, and Patient Preferences Before We Lower the Bar on Blood Pressure Timothy J. 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Actualización de las recomendaciones del Grupo de Trabajo de Diabetes y Riesgo Cardiovascular de la Sociedad Española de Diabetes (SED, 2018) 6 March 2018Volume 168, Issue 5Page: 359-360KeywordsAntihypertensive drug therapyAtherosclerotic cardiovascular diseaseCardiovascular diseasesHypertensionOverweightPrimary hypertensionQuality improvementSodiumTelemedicineTreatment guidelines ePublished: 23 January 2018 Issue Published: 6 March 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...