Adoption of the new 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guidelines would be associated with a substantial increase in the prevalence of hypertension and the number of people treated with drugs in both the US and China, a recent study found. Researchers analyzed data from the US National Health and Nutrition Examination Survey (NHANES) for the most recent 2 cycles (2013-2014, 2015-2016) and China Health and Retirement Longitudinal Study (CHARLS) (2011-2012). Participants included all adults aged 45-75 who would have a diagnosis of hypertension and be candidates for treatment on the basis of the ACC/AHA guidelines, compared with current guidelines. Among the findings:
- The number of people labeled as having hypertension in the US and China would increase by 26.8% and 45.1%, respectively.
- In the US and China, respectively, 7.5 million and 55.3 million people would be newly recommended for antihypertensive treatment.
- Another 13.9 million and 30 million, respectively, would be newly recommended for intensification of treatment.
Khera R, Lu Y, Lu J, et al. Impact of 2017 ACC/AHA guidelines on prevalence of hypertension and eligibility for antihypertensive treatment in United States and China: Nationally representative cross sectional study. [Published online ahead of print July 11, 2018]. BMJ. doi:10.1136/bmj.k2357.
This Week's Must Reads
Prenatal Tdap Vaccination & ASD Risk, Pediatrics; ePub 2018 Aug 13; Becerra-Culqui, et al
Vaccination Trends in Patients with Heart Failure, JACC Heart Fail; ePub 2018 Aug 7; Bhatt, et al
Effect of Needle Size for Vaccination Procedures, Cochrane Library; ePub 2018 Aug 9; Beirne, et al
Occupational Physicians & Adult Immunization, J Occup Environ Med; ePub 2018 Aug 8; Kirupakaran, et al
Serologic Response to Pneumococcal Vaccination, BMC Infect Dis; ePub 2018 Aug 6; Ingels, et al
Must Reads in Cardiology
Aspirin for Primary CV Prevention in Diabetes, N Engl J Med; ePub 2018 Aug 26; ASCEND Study Collaborative Group
CV Mortality Among Adults with Diabetes, Diabetes Care; ePub 2018 Aug 21; Cheng, et al
Does Dietary Diversity Promote a Healthy Weight?, Circulation; ePub 2018 Aug 9; de Oliveira, et al
USPSTF: Recommendation in Screening for AF, JAMA; 2018 Aug 7; US Preventive Services Task Force
Contemporary Management of Patients with PE, Am J Med; ePub 2018 Aug 10; Secemsky, et al