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Practice Guideline
. 2007 May 15;23(7):521-7.
doi: 10.1016/s0828-282x(07)70796-1.

The 2007 Canadian Hypertension Education Program recommendations: the scientific summary - an annual update

Canadian Hypertension Education Program
Practice Guideline

The 2007 Canadian Hypertension Education Program recommendations: the scientific summary - an annual update

Canadian Hypertension Education Program. Can J Cardiol. .

Abstract
in English, French

The present paper summarizes and highlights key messages of the 2007 Canadian Hypertension Education Program recommendations for the management and diagnosis of hypertension. This is the eighth annual update. Important new messages in the 2007 Canadian Hypertension Education Program recommendations emphasize the need for assessing adults with high normal blood pressure on an annual basis and reducing sodium in the diet of Canadians to less than 100 mmol/day. These new recommendations still need to be incorporated into the older but still important considerations for the diagnosis, management and treatment of patients with hypertension, namely, assessing blood pressure in all adults at all appropriate visits, expediting the diagnosis of hypertension, assessing and managing global cardiovascular risk, emphasizing that lifestyle modifications are the cornerstone of antihypertensive therapy, treating to target to achieve optimum cardiovascular risk reduction, using combinations of antihypertensive medications and lifestyle to achieve recommended targets and focusing on adherence to therapy. Minor changes in pharmacological therapies and some new recommendations on routine laboratory tests are discussed.

Le présent article résume et met en lumière les principaux messages des recommandations de 2007 du Programme éducatif canadien sur l’hypertension pour la prise en charge et le diagnostic de l’hypertension. C’est la huitième mise à jour annuelle. Les nouveaux messages importants des recommandations de 2007 du Programme éducatif canadien sur l’hypertension exposent le besoin d’évaluer les adultes ayant une tension artérielle (TA) normale-élevée tous les ans et de réduire la quantité de sel à moins de 100 mmol/jour dans le régime des Canadiens. Ces nouvelles recommandations n’ont pas encore été intégrées aux précédents éléments, qui demeurent toujours importants, pour le diagnostic, la prise en charge et le traitement des patients hypertendus, notamment l’évaluation de la TA chez tous les adultes à toutes les consultations pertinentes, le diagnostic rapide de l’hypertension, l’évaluation et la prise en charge du risque cardiovasculaire global, l’insistance sur les modifications au mode de vie comme pierre angulaire du traitement antihypertenseur, le traitement ciblé afin d’obtenir une réduction optimale du risque cardiovasculaire, le recours à une polythérapie d’antihypertenseurs et de modifications au mode de vie pour obtenir les cibles recommandées et l’orientation sur l’observance du traitement. On discute de la possibilité de changements mineurs aux pharmacothérapies et de nouvelles recommandations pour les examens de laboratoire systématiques.

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Comment in

  • Musings regarding hypertension.
    Smith ER. Smith ER. Can J Cardiol. 2007 May 15;23(7):603-4. doi: 10.1016/s0828-282x(07)70809-7. Can J Cardiol. 2007. PMID: 17593584 Free PMC article. No abstract available.

References

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