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Practice Guideline
. 2021 Sep;23(9):1637-1650.
doi: 10.1111/jch.14335. Epub 2021 Aug 3.

Executive summary of the 2020 clinical practice guidelines for the management of hypertension in the Philippines

Deborah Ignacia D Ona  1   2 , Cecilia A Jimeno  1 , Gabriel V Jasul Jr  1   2 , Ma Lourdes E Bunyi  2 , Raymond Oliva  1 , Lourdes Ella Gonzalez-Santos  1 , Leilani B Mercado-Asis  3 , Vimar A Luz  2 , Aurelia G Leus  4 , Alejandro Bimbo F Diaz  3 , Marjorie I Santos  5 , Allan A Belen  6 , Dolores D Bonzon  1 , Jonnie Bote-Nunez  7 , Roberta Maria N Cawed-Mende  8 , Arnel S Chua  9 , Anne Marie Joyce T Javier  10 , Dan Neftalie A Juangco  4 , Carmela Madrigal-Dy  11 , Marlon B Manicad  12 , Juan Miguel Gil R Ortiz  13 , Christia S Padolina  13 , Maria Concepcion C Sison  1 , Ninfa J Villanueva  14
Affiliations
Practice Guideline

Executive summary of the 2020 clinical practice guidelines for the management of hypertension in the Philippines

Deborah Ignacia D Ona et al. J Clin Hypertens (Greenwich). 2021 Sep.

Abstract

Hypertension is the most common cause of death and disability worldwide with its prevalence rising in low to middle income countries. It remains to be an important cause of morbidity and mortality in the Philippines with poor BP control as one of the main causes. Different societies and groups worked and collaborated together to develop the 2020 Philippine Clinical Practice Guidelines of hypertension arising for the need to come up with a comprehensive local practice guideline for the diagnosis, treatment, and follow up of persons with hypertension. A technical working group was organized into six clusters that analyzed the 30 clinical questions commonly asked in practice, looking into the definition of hypertension, treatment thresholds, blood pressure targets, and appropriate medications to reach targets. This guideline also includes recommendations for the specific management of hypertension among individuals with uncomplicated hypertension, hypertension among those with diabetes, stroke, chronic kidney disease, as well as hypertension among pregnant women and pediatric populations. It also looked into the appropriate screening and monitoring of patients when managing hypertension, and identification of groups who are at high risk for cardiovascular (CV) events. The ADAPTE process was used in developing the statements and recommendations which were then presented to a panel of experts for discussion and approval to come up with the final statements. This guideline aims to aid Filipino healthcare professionals to provide evidence-based care for persons with hypertension and help those with hypertension adequately control their blood pressure and reduce their CV risk.

Keywords: hypertension-general; lifestyle modification/hypertension; treatment and diagnosis/guidelines.

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Figures

FIGURE 1
FIGURE 1
Algorithm for the management of hypertension among adults
FIGURE 2
FIGURE 2
Algorithm for blood pressure management at the emergency room in acute stroke patients
FIGURE 3
FIGURE 3
Treatment algorithm for hypertension in the pediatric population
See this image and copyright information in PMC

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