The 2014 Canadian Hypertension Education Program Recommendations for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension Academic Article uri icon

  •  
  • Overview
  •  
  • Research
  •  
  • Identity
  •  
  • Additional Document Info
  •  
  • View All
  •  

abstract

  • Herein, updated evidence-based recommendations for the diagnosis, assessment, prevention, and treatment of hypertension in Canadian adults are detailed. For 2014, 3 existing recommendations were modified and 2 new recommendations were added. The following recommendations were modified: (1) the recommended sodium intake threshold was changed from ≤ 1500 mg (3.75 g of salt) to approximately 2000 mg (5 g of salt) per day; (2) a pharmacotherapy treatment initiation systolic blood pressure threshold of ≥ 160 mm Hg was added in very elderly (age ≥ 80 years) patients who do not have diabetes or target organ damage (systolic blood pressure target in this population remains at < 150 mm Hg); and (3) the target population recommended to receive low-dose acetylsalicylic acid therapy for primary prevention was narrowed from all patients with controlled hypertension to only those ≥ 50 years of age. The 2 new recommendations are: (1) advice to be cautious when lowering systolic blood pressure to target levels in patients with established coronary artery disease if diastolic blood pressure is ≤ 60 mm Hg because of concerns that myocardial ischemia might be exacerbated; and (2) the addition of glycated hemoglobin (A1c) in the diagnostic work-up of patients with newly diagnosed hypertension. The rationale for these recommendation changes is discussed. In addition, emerging data on blood pressure targets in stroke patients are discussed; these data did not lead to recommendation changes at this time. The Canadian Hypertension Education Program recommendations will continue to be updated annually.

authors

  • Dasgupta, Kaberi
  • Quinn, Robert R
  • Zarnke, Kelly B
  • Rabi, Doreen M
  • Ravani, Pietro
  • Daskalopoulou, Stella S
  • Rabkin, Simon W
  • Trudeau, Luc
  • Feldman, Ross D
  • Cloutier, Lyne
  • Prebtani, Ally
  • Herman, Robert J
  • Bacon, Simon L
  • Gilbert, Richard E
  • Ruzicka, Marcel
  • McKay, Donald W
  • Campbell, Tavis S
  • Grover, Steven
  • Honos, George
  • Schiffrin, Ernesto L
  • Bolli, Peter
  • Wilson, Thomas W
  • Lindsay, Patrice
  • Hill, Michael D
  • Coutts, Shelagh B
  • Gubitz, Gord
  • Gelfer, Mark
  • Vallée, Michel
  • Prasad, GV Ramesh
  • Lebel, Marcel
  • McLean, Donna
  • Arnold, J Malcolm O
  • Moe, Gordon W
  • Howlett, Jonathan G
  • Boulanger, Jean-Martin
  • Larochelle, Pierre
  • Leiter, Lawrence A
  • Jones, Charlotte
  • Ogilvie, Richard I
  • Woo, Vincent
  • Kaczorowski, Janusz
  • Burns, Kevin D
  • Petrella, Robert J
  • Hiremath, Swapnil
  • Milot, Alain
  • Stone, James A
  • Drouin, Denis
  • Lavoie, Kim L
  • Lamarre-Cliche, Maxime
  • Tremblay, Guy
  • Hamet, Pavel
  • Fodor, George
  • Carruthers, S George
  • Pylypchuk, George B
  • Burgess, Ellen
  • Lewanczuk, Richard
  • Dresser, George K
  • Penner, S Brian
  • Hegele, Robert A
  • McFarlane, Philip A
  • Khara, Milan
  • Pipe, Andrew
  • Oh, Paul
  • Selby, Peter
  • Sharma, Mukul
  • Reid, Debra J
  • Tobe, Sheldon W
  • Padwal, Raj S
  • Poirier, Luc

publication date

  • May 2014