Abstract
In this report we examine the differences between the 2017 Hypertension Canada and
2017 American College of Cardiology and American Heart Association (ACC/AHA) blood
pressure (BP) guidelines regarding the proportions of individuals with a diagnosis
of hypertension, BP above thresholds for treatment initiation, and BP below targets
using the CARTaGENE cohort. Compared with the 2017 Canadian guidelines, the 2017 ACC/AHA
guidelines would result in increases of 8.7% in hypertension diagnosis and 3.4% of
individuals needing treatment, with 17.2% having a different BP target. In conclusion,
implementing the 2017 ACC/AHA hypertension guidelines in Canada could result in major
effects for millions of Canadians.
Résumé
Dans ce rapport, nous analysons les différences entre les lignes directrices de 2017
d'Hypertension Canada et celles de l'American College of Cardiology et de l'American
Heart Association (ACC/AHA) en matière de pression artérielle (PA) pour déterminer
les proportions d'individus ayant reçu un diagnostic d'hypertension et présentant
une PA supérieure aux seuils d'instauration d'un traitement et une PA inférieure aux
valeurs cibles dans la cohorte du projet CARTaGENE. Comparativement aux lignes directrices
canadiennes de 2017, l'application des lignes directrices de l'ACC/AHA se traduirait
par une augmentation de 8,7 % du nombre de diagnostics d'hypertension et de 3,4 %
du nombre de personnes nécessitant un traitement, dont 17,2 % auraient une PA cible
différente. En conclusion, la mise en œuvre au Canada des lignes directrices de 2017
de l'ACC/AHA sur l'hypertension pourrait avoir des répercussions majeures pour des
millions de Canadiens.
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Article info
Publication history
Accepted:
January 12,
2018
Received:
December 12,
2017
Footnotes
See page 668 for disclosure information.
See editorial by Feldman, pages 543–545, and article by Leung et al., pages 670–675 of this issue.
Identification
Copyright
© 2018 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
