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2017 ACC/AHA BP Guideline Impact on Stroke Survivors

J Am Heart Assoc; ePub 2018 Jun 6; Lekoubou, et al

Implementation of the 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guidelines will result in a greater number of stroke survivors with hypertension and requiring antihypertensive treatment, a new study found. Researchers estimated the prevalence and number of stroke survivors with hypertension, recommended pharmacological treatment, and above blood pressure (BP) target, according to the 2017 ACC/AHA guidelines and the seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Participants were aged ≥20 years from the National Health and Nutrition Examination Surveys between 2003 and 2014. They found:

  • Compared with the seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high BP, the 2017 ACC/AHA hypertension would result in a nearly 67% relative increase in the proportion of US stroke survivors diagnosed with hypertension.
  • Implementation of the ACC/AHA guidelines would also result in a 54% relative increase in those not within the recommended blood pressure target.
  • Finally, there may increase antihypertensive treatment in these patients.

Citation:

Lekoubou A, Bishu KG, Ovbiagele B. Nationwide impact of the 2017 American College of Cardiology/American Heart Association blood pressure guidelines on stroke survivors. [Published online ahead of print June 6, 2018]. J Am Heart Assoc. doi:10.1161/JAHA.118.008548.