Whelton, Paul K;
Carey, Robert M;
Mancia, Giuseppe;
Kreutz, Reinhold;
Bundy, Joshua D;
Williams, Bryan;
(2022)
Harmonization of the American College of Cardiology/American Heart Association and European Society of Cardiology/European Society of Hypertension Blood Pressure/Hypertension Guidelines: Comparisons, Reflections, and Recommendations.
Circulation
10.1161/CIRCULATIONAHA.121.054602.
(In press).
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Abstract
The 2017 American College of Cardiology/American Heart Association and 2018 European Society of Cardiology/European Society of Hypertension clinical practice guidelines for management of high blood pressure/hypertension are influential documents. Both guidelines are comprehensive, were developed using rigorous processes, and underwent extensive peer review. The most notable difference between the 2 guidelines is the blood pressure cut points recommended for the diagnosis of hypertension. There are also differences in the timing and intensity of treatment, with the American College of Cardiology/American Heart Association guideline recommending a somewhat more intensive approach. Overall, there is substantial concordance in the recommendations provided by the 2 guideline-writing committees, with greater congruity between them than their predecessors. Additional harmonization of future guidelines would help to underscore the commonality of their core recommendations and could serve to catalyze changes in practice that would lead to improved prevention, awareness, treatment, and control of hypertension, worldwide.
| Type: | Article |
|---|---|
| Title: | Harmonization of the American College of Cardiology/American Heart Association and European Society of Cardiology/European Society of Hypertension Blood Pressure/Hypertension Guidelines: Comparisons, Reflections, and Recommendations |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1161/CIRCULATIONAHA.121.054602 |
| Publisher version: | https://www.ahajournals.org/loi/circ |
| Language: | English |
| Additional information: | The article has been co-published with permission in the European Heart Journal, the Journal of the American College of Cardiology, and Circulation. © 2022 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits non-commercial reuse, distribution, and reproduction in any medium, provided the original work is properly cited. The articles are identical except for minor stylistic and spelling differences in keeping with each journal’s style. When citing this article, a citation from any of the journals listed is appropriate. |
| Keywords: | Antihypertensive agents, blood pressure, cardiovascular diseases, hypertension, life style, practice guideline, public health |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10154587 |
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