LA UDES PUBLICA
Fecha de publicación:
2022-01-01
Tipo:
Article
Identificación:
SCOPUS_ID:85120951920
eID:
2-s2.0-85120951920
Nombre de la revista:
Hypertension
Título del artículo:

Hypertension pharmacological treatment in adults: A world health organization guideline executive summary

Hypertension is a major cause of cardiovascular disease and deaths worldwide especially in low- and middle-income countries. Despite the availability of safe, well-tolerated, and cost-effective blood pressure (BP)-lowering therapies, <14% of adults with hypertension have BP controlled to a systolic/diastolic BP <140/90 mm Hg. We report new hypertension treatment guidelines, developed in accordance with the World Health Organization Handbook for Guideline Development. Overviews of reviews of the evidence were conducted and summary tables were developed according to the Grading of Recommendations, Assessment, Development, and Evaluations approach. In these guidelines, the World Health Organization provides the most current and relevant evidence-based guidance for the pharmacological treatment of nonpregnant adults with hypertension. The recommendations pertain to adults with an accurate diagnosis of hypertension who have already received lifestyle modification counseling. The guidelines recommend BP threshold to initiate pharmacological therapy, BP treatment targets, intervals for follow-up visits, and best use of health care workers in the management of hypertension. The guidelines provide guidance for choice of monotherapy or dual therapy, treatment with single pill combination medications, and use of treatment algorithms for hypertension management. Strength of the recommendations was guided by the quality of the underlying evidence; the tradeoffs between desirable and undesirable effects; patient\'s values, resource considerations and cost-effectiveness; health equity; acceptability, and feasibility consideration of different treatment options. The goal of the guideline is to facilitate standard approaches to pharmacological treatment and management of hypertension which, if widely implemented, will increase the hypertension control rate world-wide.

Autor(es) UDES:
Lopez-Jaramillo P.
Otros Autores:
Al-Makki A., DiPette D., Whelton P.K., Murad M.H., Mustafa R.A., Acharya S., Beheiry H.M., Champagne B., Connell K., Cooney M.T., Ezeigwe N., Gaziano T.A., Gidio A., Khan U.I., Kumarapeli V., Moran A.E., Silwimba M.M., Rayner B., Sukonthasan A., Yu J., Saraffzadegan N., Reddy K.S., Khan T.
Autor Principal:
Al-Makki A.
Áreas del conocimiento:
Internal Medicine
Acerca de la revista donde se publicó este artículo:

Hypertension

Cuartil Q1
Ranking
728
Tipo
Journal
ISSN
0194911X
eISSN
15244563
Región
Northern America
País
United States
Volumen
79
Rango de páginas
293-301
Cobertura
1979-2022
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