Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul 15:6:100041.
doi: 10.1016/j.ijchy.2020.100041. eCollection 2020 Sep.

Position statement of the Interamerican Society of Cardiology (IASC) on the current guidelines for the prevention, diagnosis and treatment of arterial hypertension 2017-2020

Fernando Wyss  1 , Antonio Coca  2 , Patricio Lopez-Jaramillo  3 , Carlos Ponte-Negretti  4 ; Task Force for the management of Arterial Hypertension of the Interamerican Society of Cardiology (IASC); Reviewers from European Society of Hypertension (ESH), Latin-American Society of Hypertension (LASH), Spanish Society of Cardiology (SSC)
Collaborators, Affiliations

Position statement of the Interamerican Society of Cardiology (IASC) on the current guidelines for the prevention, diagnosis and treatment of arterial hypertension 2017-2020

Fernando Wyss et al. Int J Cardiol Hypertens. .

Abstract

Objectives: As an Inter-American Society we are convinced of the need to standardize the steps in which we diagnose, evaluate, treat and control hypertension, establishing guidelines and rules that should be adopted in all countries of Latin America, aimed at standardizing management and control of CV risk in order to achieve a substantial decrease in CV events.

Methods: In the last four years important international guidelines for the diagnosis, management, treatment and control of arterial hypertension have been published. In America, mostly in mid- and low-income countries, hypertension is a major problem of public health, being the most important cardiovascular risk factor due to its great population impact. Therefore, it is crucial to dedicate all the possible efforts to increase substantially the number of hypertensive patients diagnosed in a given area, and to improve the percentage of controlled patients. This is a major necessity in order to reduce the morbidity and mortality for CVD in the Latin American region, although no guidelines takes the Latin American populations into account, and much less standardizes their diagnosis and management.

Conclusions: The Inter-American Society of Cardiology suggest the use of the blood pressure classification of the Latin American Society of Hypertension (LASH) and recommends the use of the SCORE System to stratify the global CV risk because this system has the capability to adapt the global risk by means of a correcting factor based on the ethnicity of the different native populations in America.

Keywords: Guidelines; Hypertension; Treatment.

PubMed Disclaimer

Conflict of interest statement

None of the authors declare any conflicts of interest.

Figures

Fig. 1
Fig. 1
Proposal by the Inter American Society of Cardiology for the diagnosis and treatment of hypertension in Latin American Countries.
See this image and copyright information in PMC

References

    1. Task Force of the Latin American Society of Hypertension Guidelines on the management of arterial Hypertension and related comorbidities in Latin America. J. Hypertens. 2017;35(8):1529–1545. - PubMed
    1. Whelton P.K., Carey R.M., Aronow W.S., Casey D.E., Jr., Collins K.J., Dennison Himmelfarb C. 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: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6) e13e115. - PubMed
    1. Nerenberg K.A., Zarnke K.B., Leung A.A., Dasgupta K., Butalia S., McBrien K. Hypertension Canada's 2018 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults and children. Can. J. Cardiol. 2018;34(5):506–525. - PubMed
    1. Williams B., Mancia G., Spiering W., Agabiti-Rosei E., Azizi M., Burnier M. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur. Heart J. 2018;39(33):3021–3104. - PubMed
    1. Unger T., Borghi C., Charchar F., Khan N.A., Poulter N.R., Prabhakaran D. 2020 International Society of Hypertension global hypertension practice guidelines. J. Hypertens. 2020;38(6):982–1004. - PubMed