The 2017 American College of Cardiology/American Heart Association vs Hypertension Canada High Blood Pressure Guidelines and Potential Implications

Can J Cardiol. 2018 May;34(5):665-669. doi: 10.1016/j.cjca.2018.01.011.

Abstract

In this report we examine the differences between the 2017 Hypertension Canada and 2017 American College of Cardiology and American Heart Association (ACC/AHA) blood pressure (BP) guidelines regarding the proportions of individuals with a diagnosis of hypertension, BP above thresholds for treatment initiation, and BP below targets using the CARTaGENE cohort. Compared with the 2017 Canadian guidelines, the 2017 ACC/AHA guidelines would result in increases of 8.7% in hypertension diagnosis and 3.4% of individuals needing treatment, with 17.2% having a different BP target. In conclusion, implementing the 2017 ACC/AHA hypertension guidelines in Canada could result in major effects for millions of Canadians.

Publication types

  • Comparative Study

MeSH terms

  • Canada
  • Cardiology / methods
  • Cardiology / standards
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Patient Care Management* / methods
  • Patient Care Management* / standards
  • Patient Selection
  • Practice Guidelines as Topic
  • United States
  • Voluntary Health Agencies