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Practice Guideline
. 2013 Sep;59(9):927-33, e393-400.

Recommendations on Screening for High Blood Pressure in Canadian Adults

[Article in English, French]
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Free PMC article
Practice Guideline

Recommendations on Screening for High Blood Pressure in Canadian Adults

[Article in English, French]
Patrice Lindsay et al. Can Fam Physician. .
Free PMC article

Abstract

Objective: To provide recommendations on screening for hypertension in adults aged 18 years and older without previously diagnosed hypertension.

Quality of evidence: Evidence was found through a systematic search of MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews (EBM Reviews), from January 1985 to September 2011. Study types were limited to randomized controlled trials, systematic reviews, and observational studies with control groups.

Main message: Three strong recommendations were made based on moderate-quality evidence. It is recommended that blood pressure measurement occur at all appropriate primary care visits, according to the current techniques described in the Canadian Hypertension Education Program recommendations for office and ambulatory blood pressure measurement. The Canadian Hypertension Education Program criteria for assessment and diagnosis of hypertension should be applied for people found to have elevated blood pressure.

Conclusion: After review of the most recent evidence, the Canadian Task Force on Preventive Health Care continues to recommend blood pressure measurement during regular physician visits.

Figures

Figure 1
Figure 1
Hypertension analytical framework: This framework does not include management of diagnosed hypertension, as it is beyond the scope of the CTFPHC mandate. CHEP—Canadian Hypertension Education Program, CTFPHC—Canadian Task Force on Preventive Health Care, CQ—contextual question, CVD—cardiovascular disease, HTN—hypertension, KQ—key question. *Cardiovascular morbidity includes stroke, heart disease, renal disease, peripheral vascular disease, and retinal disease. The recommendations will defer to CHEP for a description of the specific processes for taking office, home, and ambulatory blood pressure measurements.

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