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1999 Canadian recommendations for the management of hypertension including case-based applications of the recommendations

Canadian Medical Association journal (CMAJ), 1999-12, Vol.161 (12), p.Supplem [Peer Reviewed Journal]

Copyright Canadian Medical Association Dec 14, 1999 ;ISSN: 0820-3946 ;EISSN: 1488-2329 ;CODEN: CMAJAX

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  • Title:
    1999 Canadian recommendations for the management of hypertension including case-based applications of the recommendations
  • Author: Haynes, R Brian ; Leenen, Frans H ; Carruthers, S George ; Myers, Martin G ; Floras, John S ; Spence, J David ; Campbell, Norman ; Larochelle, Pierre ; Zarnke, Kelly B ; Feldman, Ross D ; Bolli, Peter ; Honos, George ; Burgess, Ellen D ; Leiter, Larry A ; Logan, Alexan
  • Subjects: Health care ; Hypertension ; Management ; Systematic review
  • Is Part Of: Canadian Medical Association journal (CMAJ), 1999-12, Vol.161 (12), p.Supplem
  • Description: The 1999 Canadian Recommendations for the Management of Hypertension are notable for the trends that they represent with regard to the evolution of the management of hypertension. Diagnostically, the Recommendations endorse the greater use of non-office-based measures of blood pressure control and greater emphasis on the assessment of other atherosclerotic risk factors, both when considering prognosis in hypertension and in the choice of therapy. On the treatment side of the equation, lower targets for blood pressure control have been advocated in subgroups of hypertensive patients, particularly in those with diabetes and renal disease. In conjunction with the recently published recommendations on lifestyle management, there is a greater emphasis on lifestyle modification, both as initial and adjunctive therapy in hypertension. Implicit in the recommendations for therapy is the principle that for the vast majority of hypertensive patients treated pharmacologically, practitioners should not follow a stepped-care approach. Instead, therapy should be individualized, primarily based on consideration of concurrent diseases, both cardiovascular and noncardiovascular (Tables 1 and 2). Through the consensus process, there was a general appreciation of how far we have come in the development of evidence-based recommendations for hypertension management. However, there was also an increasing appreciation of how far we have to go in effectively translating these recommendations into better blood pressure control.
  • Publisher: Ottawa: CMA Impact, Inc
  • Language: English
  • Identifier: ISSN: 0820-3946
    EISSN: 1488-2329
    CODEN: CMAJAX
  • Source: ProQuest One Psychology
    GFMER Free Medical Journals
    PubMed Central
    Alma/SFX Local Collection
    ProQuest Central
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