2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

Whelton, Paul K.; Carey, Robert M.; Aronow, Wilbert S.; Casey, Donald E.; Collins, Karen J.; Himmelfarb, Cheryl Dennison; DePalma, Sondra M.; Gidding, Samuel S.; Jamerson, Kenneth; Jones, Daniel W.; MacLaughlin, Eric J.; Muntner, Paul; Ovbiagele, Bruce; Smith, Sidney C.; Spencer, Crystal C.; Stafford, Randall S.; Taler, Sandra J.; Thomas, Randal J.; Williams, Kim A.; Williamson, Jeff D.; Wright, Jackson T.

doi:10.1161/hyp.0000000000000066

Cited by 2,982 publications

(2,405 citation statements)

References 365 publications

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“…Using the 2017 ACC/AHA BP guideline definition,9 75.5% of black men and 75.7% of black women developed hypertension compared with 54.5% of white men and 40.0% of white women by 55 years of age. Within subgroups of baseline SBP/DBP, cumulative incidence of hypertension was higher among blacks compared with whites.…”

Section: Discussionmentioning

confidence: 99%

“…However, few studies have used longitudinal data to quantify the cumulative incidence of hypertension from young adulthood through middle age among blacks and whites. Also, there are few data on racial differences in hypertension according to the definition in the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) BP guideline 9. Determining the magnitude of racial differences in the cumulative incidence of hypertension in young adulthood through middle age may help determine the need for primordial prevention and interventions aimed at maintaining optimal BP levels across the life span, particularly among blacks.…”

Section: Introductionmentioning

confidence: 99%

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Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

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BackgroundBlacks have higher blood pressure levels compared with whites beginning in childhood. Few data are available on racial differences in the incidence of hypertension from young adulthood through middle age.Methods and ResultsWe calculated the cumulative incidence of hypertension from age 18 to 55 years among participants in the CARDIA (Coronary Artery Risk Development in Young Adults) study. Incident hypertension was defined by the first visit with mean systolic blood pressure ≥130 mm Hg, mean diastolic blood pressure ≥80 mm Hg, or self‐reported use of antihypertensive medication. Among 3890 participants without hypertension at baseline (aged 18–30 years), cumulative incidence of hypertension by age 55 years was 75.5%, 75.7%, 54.5%, and 40.0% in black men, black women, white men, and white women, respectively. Among participants with systolic blood pressure/diastolic blood pressure <110 and 70, 110 to 119/70 to 74, and 120 to 129/75 to 79 mm Hg at baseline, blacks were more likely than whites to develop hypertension: multivariable‐adjusted hazard ratios 1.97 (95% confidence interval, 1.65, 2.35), 1.80 (95% confidence interval, 1.52, 2.14), and 1.59 (95% confidence interval, 1.31, 1.93), respectively. Parental history of hypertension and higher body mass index, serum uric acid, and systolic blood pressure/diastolic blood pressure categories were associated with a higher risk for hypertension among blacks and whites. A higher Dietary Approaches to Stop Hypertension diet adherence score was associated with a lower risk for hypertension in blacks and whites.ConclusionsRegardless of blood pressure level in young adulthood, blacks have a substantially higher risk for hypertension compared with whites through 55 years of age.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Thomas

Booth

Dai

et al. 2018

JAHA

Self Cite

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“…3 In this review, we focus on GH and preeclampsia within the term HDP . Of note, in 2017, the American College of Cardiology and American Heart Association (ACC/AHA) issued a clinical practice guideline on hypertension that reclassified the previous category of prehypertension into elevated BP (systolic BP 120–129 mm Hg) and stage 1 hypertension (systolic BP 130–139 mm Hg or diastolic BP 80–89 mm Hg) 4. The ACOG guidelines do not incorporate the most recent hypertension definitions, and this is an area in which new evidence is essential.…”

Section: Classification and Epidemiology Of Hdpmentioning

confidence: 99%

Hypertensive Disorders of Pregnancy and Future Maternal Cardiovascular Risk

Ying

Catov

Ouyang

2018

JAHA

187

119

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“…In addition, ICG provides various indices of LV function/contractility, derived from the rate of change of electrical impedance in the thorax. The new American College of Cardiology (ACC)/American Heart Association (AHA)/American Academy of Physician Assistants/Association of Black Cardiologists/American College of Preventive Medicine/American Geriatrics Society/American Pharmacists Association/American Society of Hypertension/American Society for Preventive Cardiology/National Medical Association/Preventive Cardiovascular Nurses Association Guidelines for the Prevention, Detection, Evaluation, and Management of High BP in Adults6, 7 provide a new definition of hypertension and emphasize early detection and prevention as important objectives for clinical care and further research. Therefore, the identification of adults at increased risk for adverse outcomes, particularly those in earlier stages of the BP continuum, is an important goal.…”

mentioning

confidence: 99%

Hemodynamic Patterns Identified by Impedance Cardiography Predict Mortality in the General Population: The PREVENCION Study

Medina‐Lezama

Narvaez‐Guerra

Herrera‐Enriquez

et al. 2018

JAHA

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BackgroundBlood pressure is determined by the interactions between the heart and arterial properties, and subjects with identical blood pressure may have substantially different hemodynamic determinants. Whether arterial hemodynamic indices quantified by impedance cardiography (ICG), a simple operator‐independent office procedure, independently predict all‐cause mortality in adults from the general population, and specifically among those who do not meet criteria for American College of Cardiology/American Heart Association stage 2 hypertension, is currently unknown.Methods and ResultsWe studied 1639 adults aged 18 to 80 years from the general population. We used ICG to measure hemodynamic parameters and metrics of cardiac function. We assessed the relationship between hemodynamic parameters measured at baseline and all‐cause mortality over a mean follow‐up of 10.9 years. Several ICG parameters predicted death. The strongest predictors were total arterial compliance index (standardized hazard ratio=0.38; 95% confidence interval=0.31–0.46; P<0.0001) and indices of cardiac contractility: velocity index (standardized hazard ratio=0.45; 95% confidence interval=0.37–0.55; P<0.0001) and acceleration index (standardized hazard ratio=0.44; 95% confidence interval=0.35–0.55; P<0.0001). These remained independently predictive of death after adjustment for multiple confounders, as well as systolic and diastolic blood pressure. Among subjects without stage 2 hypertension (n=1563), indices of cardiac contractility were independently predictive of death and identified a subpopulation (25% of non‐stage‐2 hypertensives) that demonstrated a high 10‐year mortality risk, equivalent to that of stage 2 hypertensives.ConclusionsHemodynamic patterns identified by ICG independently predict mortality in the general population. The predictive value of ICG applies even in the absence of American College of Cardiology/American Heart Association stage 2 hypertension and identifies higher‐risk individuals who are in earlier stages of the hypertension continuum.

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2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

Cited by 2,982 publications

References 365 publications

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study

Hypertensive Disorders of Pregnancy and Future Maternal Cardiovascular Risk

Hemodynamic Patterns Identified by Impedance Cardiography Predict Mortality in the General Population: The PREVENCION Study

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