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WEDNESDAY, Sept. 2, 2020 (HealthDay News) — In a synopsis of the 2020 U.S. Department of Veterans Affairs\/U.S. Department of Defense clinical practice guideline, published online Sept. 1 in the Annals of Internal Medicine<\/i>, recommendations are presented for the diagnosis and management of hypertension.<\/p>\n
Mark P. Tschanz, D.O., from the Naval Medical Center in San Diego, and colleagues developed guidelines for the diagnosis and management of hypertension in the primary care setting.<\/p>\n
The authors recommend periodic screening of adults for elevated blood pressure. Suggested measurement techniques include fully automated office blood pressure measurements, or standard techniques and a properly calibrated and validated sphygmomanometer if fully automated measures are not available. Treatment to a systolic blood pressure goal of <130 mm Hg is suggested for all patients. For patients aged 60 years and older, treatment is recommended to a systolic blood pressure goal of <150 mm Hg with added benefit for further lowering; for patients aged 60 and older with type 2 diabetes, the recommended systolic blood pressure goal is <140 mm Hg, with added benefit for further lowering. For patients aged 30 and older, a diastolic blood pressure goal of <90 mm Hg is recommended. Nonpharmcologic treatment recommendations include losing weight for those with overweight\/obesity, exercise, and dietary modifications. Pharmacologic treatment options include a thiazide-type diuretic, calcium-channel blocker, or either an angiotensin-converting enzyme inhibitor or an angiotensin II receptor blocker as primary therapy for hypertension.<\/p>\n
“[This] guideline provides evidence-based recommendations for outpatient evaluation and management of hypertension in adults, with the goal of successful patient-centered management to improve clinical outcomes ” the authors write.<\/p>\n
Clinical Practice Guideline<\/a><\/p>\n Review (subscription or payment may be required)<\/a><\/p>\n <\/i><\/p>\n