Compared with the 2014 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guideline, the 2017 hypertension guideline may increase the proportion of adults recommended for antihypertensive treatment and further reduce cardiovascular diseases and all-cause mortality in patients meeting treatment goals. This according to an analysis of data from the National Health and Nutrition Examination Survey 2013 to 2016 in which researchers estimated the proportions of US adults with hypertension or recommended for antihypertensive treatment according to the 2017 and 2014 hypertension guidelines. They determined:
- According to the 2017 hypertension guideline, the prevalence of hypertension was 45.4% which was significantly higher than estimates per the 2014 hypertension guideline.
- The proportion of individuals recommended for antihypertensive treatment was also significantly higher according to the 2017 guideline vs the 2014 guidelines.
- Achieving the 2017 guideline treatment goals may further reduce 340,000 cardiovascular events and 156,000 total deaths annually compared with the 2014 guideline treatment goals.
Bundy JD, Mills KT, Chen J, Li C, Greenland P, He J. Estimating the association of the 2017 and 2014 hypertension guidelines with cardiovascular events and deaths in US adults. An analysis of national data. [Published online ahead of print May 23, 2018]. JAMA Cardiol. doi:10.1001/jamacardio.2018.1240.
This Week's Must Reads
Anticoagulation in Patients with AF and HF, Clin Cardiol; ePub 2018 Dec 23; Contreras, et al
Serum Uric Acid, Silent MI & Mortality, Am J Cardiol; ePub 2018 Dec 19; Ahmad, et al
Catheter Ablation for AF in Adults with CHD, Heart Rhythm; ePub 2018 Dec 26; Liang, et al
Cognitive Impairment in Adults with Incident HF, J Card Fail; ePub 2018 Dec 22; Sterling, et al
LDL-C Level Reduction Consistent with Evolocumab , JAMA Cardiol; ePub 2018 Dec 12; Qamar, et al
Must Reads in Clinical Guidelines
Cholesterol Guidelines Stress Lifetime Approach, Circulation; ePub 2018 Nov 10; Grundy, et al
ACC/AHA Updates Guideline for Management of CHD, Circulation; ePub 2018 Aug 14; Stout, et al
2017 ACC/AHA BP Guideline Impact on Stroke Survivors, J Am Heart Assoc; ePub 2018 Jun 6; Lekoubou, et al
Comparing Hypertension Guidelines in CV Events, JAMA Cardiol; ePub 2018 May 23; Bundy, et al
AHA: Management of Right-Sided Heart Failure, Circulation; ePub 2018 Apr 12; Konstam, et al