screening for hypertension
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Indications
- blood pressure screening in
- adults >=18 years of age with office-based blood pressure measurement[5]
- annual screening for hypertension in adults >= 40 years & for adults at increased risk for hypertension (Black persons, overweight or obese)[5]
- screening every 3-5 years for most young adults 18-39 years[5]
Management
- office blood pressure (BP) measurements should be repeated (see blood pressure)
- ambulatory blood pressure should be used to confirm high blood pressure before a patient is diagnosed with hypertension[3][4]
- 5-65% of patients with high blood pressure readings in the office are normotensive on ambulatory monitoring[3]
- home blood pressure monitoring may be alternative[3][4]
- a diagnosis of hypertension should be based on average of >=2 elevated systolic BP &/or diastolic BP obtain on >= 2 occasions (MKSAP19)[6]
- the optimal screening interval is not known[1]
- insufficient evidence to recommend screening for hypertension in asymptomatic children & adolescents[2][5]
- obtain blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment[5]
More general terms
Additional terms
Component of
References
- ↑ 1.0 1.1 US Preventive Services Task Force. Screening for high blood pressure: US Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med 2007, 147:783 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18056662
Wolff T and Miller T Evidence for the US Preventive Services Task Force recommendation on screening for high blood pressure. Ann Intern Med 2007, 147:787 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18056663
corresponding NGC guideline withdrawn Jan 2013 - ↑ 2.0 2.1 Moyer VA et al Screening for Primary Hypertension in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 8 October 2013 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24097285 <Internet> http://annals.org/article.aspx?articleid=1747317
U.S. Preventive Services Task Force (USPSTF) Draft Recommendation Statement. April 21, 2020 High Blood Pressure in Children and Adolescents: Screening https://www.uspreventiveservicestaskforce.org/uspstf/document?DOC=draft-recommendation-statement&TOPIC=high-blood-pressure-in-children-and-adolescents-screening-2020 - ↑ 3.0 3.1 3.2 3.3 U.S. Preventive Services Task Force Draft Recommendation Statement. High Blood Pressure in Adults: Screening http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementDraft/hypertension-in-adults-screening-and-home-monitoring
Piper MA et al Diagnostic and Predictive Accuracy of Blood Pressure Screening Methods With Consideration of Rescreening Intervals: An Updated Systematic Review for the U.S. Preventive Services Task Force. Ann Intern Med. Published online 23 December 2014 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25531400 <Internet> http://annals.org/article.aspx?articleid=2085846 - ↑ 4.0 4.1 4.2 Siu AL on behalf of the U.S. Preventive Services Task Force Screening for High Blood Pressure in Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 13 October 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/26458123 <Internet> http://annals.org/article.aspx?articleid=2456129
- ↑ 5.0 5.1 5.2 5.3 5.4 5.5 U.S. Preventive Services Task Force (USPSTF) Screening for Hypertension in Adults. US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2021;325(16):1650-1656. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33904861 https://jamanetwork.com/journals/jama/fullarticle/2779190
Guirguis-Blake JM, Evans CV, Webber EM et al Screening for Hypertension in Adults. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2021;325(16):1657-1669 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33904862 https://jamanetwork.com/journals/jama/fullarticle/2779191
Abdalla M, Muntner P, Peterson ED The USPSTF Recommendation on Blood Pressure Screening. Making 2021 the Transformative Year in Controlling Hypertension. JAMA. 2021;325(16):1618-1619 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33904886 https://jamanetwork.com/journals/jama/fullarticle/2779218
Anstey DE, Bradley C, Shimbo D USPSTF Recommendation Statement on Hypertension Screening in Adults - Where Do We Go From Here? JAMA Netw Open. 2021;4(4):e214203. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33904916 Free article https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2779122 - ↑ 6.0 6.1 Medical Knowledge Self Assessment Program (MKSAP) 19. American College of Physicians, Philadelphia 2021