These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.
Perform blood pressure (BP) screening annually in adults 40 years and older and in adults at increased risk of hypertension (HTN).
Strength of Evidence: SORT A
Source: U.S. Preventive Services Task Force, reference 9
Website: https://jamanetwork.com/journals/jama/fullarticle/2779190For HTN management, recommend the Dietary Approaches to Stop Hypertension (DASH) diet as the most effective dietary intervention to lower BP.
Strength of Evidence: SORT A
Source: Hypertension, reference 15
Website: https://doi.org/10.1161/HYPERTENSIONAHA.115.06853Screen patients for secondary HTN when clinical indications and physical examination findings are present or in patients with resistant HTN.
Strength of Evidence: SORT A
Source: American College of Cardiology/American Heart Association, reference 1
Website: https://www.sciencedirect.com/science/article/pii/S0735109717415191Use ambulatory BP monitoring to confirm a diagnosis of HTN in children and adolescent patients after several consistently elevated BP measurement.
Strength of Evidence: SORT C
Sources: American Heart Association, Am Fam Physician, references 69 and 76
Websites: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000007;
https://www.aafp.org/pubs/afp/issues/2018/1015/p486.htmlIn pregnant patients who are at high risk of preeclampsia, recommend use of low-dose aspirin (81 mg/day) as a preventive drug after 12 weeks’ gestation.
Strength of Evidence: SORT A
Source: U.S. Preventive Services Task Force, reference 88
Website: https://doi.org/10.1001/jama.2021.14781
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