Οι Νέες Οδηγίες για την Υπέρταση – Νοέμβρης 2017 από τις AHA και ACC

Οι νέες κατευθυντήριες οδηγίες για την Αρτηριακή Υπέρταση 2017 από τις The American Heart Association (AHA) και The American College of Cardiology (ACC): Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

Intro:

Whelton PK, et al.
2017 High Blood Pressure Clinical Practice Guideline: Executive Summary
Page 5
Preamble
Since 1980, the American College of Cardiology (ACC) and American Heart Association (AHA) have translated
scientific evidence into clinical practice guidelines (guidelines) with recommendations to improve
cardiovascular health. In 2013, the National Heart, Lung, and Blood Institute (NHLBI) Advisory Council
recommended that the NHLBI focus specifically on reviewing the highest-quality evidence and partner with
other organizations to develop recommendations (1, 2). Accordingly, the ACC and AHA collaborated with the
NHLBI and stakeholder and professional organizations to complete and publish 4 guidelines (on assessment
of cardiovascular risk, lifestyle modifications to reduce cardiovascular risk, management of blood cholesterol
in adults, and management of overweight and obesity in adults) to make them available to the widest possible
constituency. In 2014, the ACC and AHA, in partnership with several other professional societies, initiated a
guideline on the prevention, detection, evaluation, and management of high blood pressure (BP) in adults.
Under the management of the ACC/AHA Task Force, a Prevention Subcommittee was appointed to help guide
development of the suite of guidelines on prevention of cardiovascular disease (CVD). These guidelines, which
are based on systematic methods to evaluate and classify evidence, provide a cornerstone for quality
cardiovascular care. The ACC and AHA sponsor the development and publication of guidelines without
commercial support, and members of each organization volunteer their time to the writing and review efforts.
Guidelines are official policy of the ACC and AHA.

ADA Position Statement 2017 – Διαβήτης και Υπέρταση

Το νέο Position Statement για τον Σακχ. Διαβήτη και την Αρτ. Υπέρταση της Αμερικανικής Διαβητολογικής Εταιρείας (ADA) »»

Πρόλογος:

Hypertension is common among patients with diabetes, with the prevalence depending on type and duration of diabetes, age, sex, race/ethnicity, BMI, history of glycemic control, and the presence of kidney disease, among other factors. Furthermore, hypertension is a strong risk factor for atherosclerotic cardiovascular disease (ASCVD), heart failure, and microvascular complications. ASCVD—defined as acute coronary syndrome, myocardial infarction (MI), angina, coronary or other arterial revascularization, stroke, transient ischemic attack, or peripheral arterial disease presumed to be of atherosclerotic origin—is the leading cause of morbidity and mortality for individuals with diabetes and is the largest contributor to the direct and indirect costs of diabetes. Numerous studies have shown that antihypertensive therapy reduces ASCVD events, heart failure, and microvascular complications in people with diabetes. Large benefits are seen when multiple risk factors are addressed simultaneously. There is evidence that ASCVD morbidity and mortality have decreased for people with diabetes since 1990 likely due in large part to improvements in blood pressure control. This Position Statement is intended to update the assessment and treatment of hypertension among people with diabetes, including advances in care since the American Diabetes Association (ADA) last published a Position Statement on this topic in 2003.

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Σπύρος Καραμαγκιώλης
Ειδικός Παθολόγος – Διαβητολόγος
Αγρίνιο, Λάρισα