Advertisement

Hypertension guidelines: Managing the differences or the patients?

Published:October 19, 2020DOI:https://doi.org/10.1016/j.ejim.2020.10.013
      Clinical guidelines summarize and evaluate all evidence available on a topic, with the aim of assisting physicians in selecting the best diagnostic and therapeutic strategies for an individual patient with a given condition. Simplifying guidelines in order to be easily adopted from a broad part of health care professionals is of interest and may indeed improve the retention of the guidelines’ key aspects, however it must be done respecting their scientific background. That's why the class of recommendation (COR) as well as the level of evidence (LOE) are key elements in any guideline work .
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to European Journal of Internal Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Unger T
        • Borghi C
        • Charchar F
        • et al.
        International society of hypertension global hypertension practice guidelines.
        J Hypertens. 2020; 38 (2020): 982-1004
        • Williams B
        • Mancia G
        • Spiering W
        • et al.
        ESC/ESH Guidelines for the management of arterial hypertension.
        Eur Heart J. 2018; (2018ehy339)https://doi.org/10.1093/eurheartj/ehy339
        • Whelton PK
        • Carey RM
        • Aronow WS
        • et al.
        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.
        J Am Coll Cardiol. 2017; 71 (2018): e127-e248
        • James PA
        • Oparil S
        • Carter BL
        • et al.
        Evidence-based guideline for the management of high blood pressure in adults: report from panel members appointed to the eight joint national committee (JNC 8).
        JAMA. 2014; 311: 507-520https://doi.org/10.1001/jama.2013.284427
        • Verdecchia P
        • Reboldi G
        • Angeli F
        The 2020 international society of hypertension global hypertension practice guidelines - key messages and clinical considerations.
        Eur J Intern Med. 2020; https://doi.org/10.1016/j.ejim.2020.09.001
        • Kallistratos MS
        • Poulimenos LE
        • Manolis AJ
        Beta blockers, calcium channel blockers, and long-acting nitrates for patients with stable angina and low blood pressure levels: should this recommendation be reconsidered?.
        Eur Heart J. 2020; 41: 479https://doi.org/10.1093/eurheartj/ehz900
        • Kallistratos MS
        • Poulimenos LE
        • Manolis AJ
        Atrial fibrillation and arterial hypertension.
        Pharmacol Res. 2018 Feb; 128: 322-326https://doi.org/10.1016/j.phrs.2017.10.007
        • Mancia G
        • Grassi G.
        Aggressive blood pressure lowering is dangerous: the J-curve: pro side of the argument.
        Hypertension. 2014; 63: 29-36https://doi.org/10.1161/01.hyp.0000441190.09494.e9
        • Vidal-Petiot E
        • Ford I
        • Greenlaw N
        • et al.
        Clarify investigators. Cardiovascular event rates and mortality according to achieved systolic and diastolic blood pressure in patients with stable coronary artery disease: an international cohort study.
        Lancet. 2016; 388: 2142-2152https://doi.org/10.1016/S0140-6736(16)31326-5