Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA; Department of Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virgina, USA.
J Am Coll Cardiol. 2022 Sep 20;80(12):1192-1201. doi: 10.1016/j.jacc.2022.07.005. Epub 2022 Aug 11.
The 2017 American College of Cardiology/American Heart Association and 2018 European Society of Cardiology/European Society of Hypertension clinical practice guidelines for management of high blood pressure/hypertension are influential documents. Both guidelines are comprehensive, were developed using rigorous processes, and underwent extensive peer review. The most notable difference between the 2 guidelines is the blood pressure cut points recommended for the diagnosis of hypertension. There are also differences in the timing and intensity of treatment, with the American College of Cardiology/American Heart Association guideline recommending a somewhat more intensive approach. Overall, there is substantial concordance in the recommendations provided by the 2 guideline-writing committees, with greater congruity between them than their predecessors. Additional harmonization of future guidelines would help to underscore the commonality of their core recommendations and could serve to catalyze changes in practice that would lead to improved prevention, awareness, treatment, and control of hypertension, worldwide.
2017 年美国心脏病学会/美国心脏协会和 2018 年欧洲心脏病学会/欧洲高血压学会高血压管理临床实践指南是具有影响力的文件。这两个指南都很全面，采用了严格的制定流程，并经过了广泛的同行评审。这两个指南之间最显著的区别是推荐用于诊断高血压的血压切点。在治疗的时机和强度方面也存在差异，美国心脏病学会/美国心脏协会指南建议采用更为强化的方法。总体而言，这两个指南制定委员会提供的建议具有很大的一致性，它们之间的一致性大于它们的前身。未来指南的进一步协调将有助于强调其核心建议的共同性，并有助于推动实践的变革，从而在全球范围内改善高血压的预防、意识、治疗和控制。
