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Guidelines to Practice

Managing stage 1 hypertension: Consider the risks, stop the progression

Abel Hooker, MD, Kevin G. Buda, DO and Maarya Pasha, MD
Cleveland Clinic Journal of Medicine May 2022, 89 (5) 244-248; DOI: https://doi.org/10.3949/ccjm.89a.21101
Abel Hooker
Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, Minneapolis, MN
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  • For correspondence: [email protected]
Kevin G. Buda
Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, Minneapolis, MN
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Maarya Pasha
Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, Minneapolis, MN
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ABSTRACT

The 2017 American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines on the treatment of hypertension recommended lifestyle modification and monitoring every 3 to 6 months for patients with stage 1 hypertension. However, the guidelines did not include recommendations for patients whose blood pressure is unresponsive to lifestyle therapy. The authors review the updated AHA position statement, which is meant to help clinicians manage patients with stage 1 hypertension and a low 10-year risk of atherosclerotic cardiovascular disease.

  • Copyright © 2022 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Abel Hooker, MD⇑
  1. Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, Minneapolis, MN
  1. Address:
    Abel Hooker, MD, Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, 730 S 8th Street, Minneapolis, MN 55415; Abel.HookerMendez{at}hcmed.org
  1. Kevin G. Buda, DO
  1. Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, Minneapolis, MN
  1. Maarya Pasha, MD
  1. Department of Internal Medicine, Hennepin County Medical Center: Hennepin Healthcare, Minneapolis, MN

ABSTRACT

The 2017 American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines on the treatment of hypertension recommended lifestyle modification and monitoring every 3 to 6 months for patients with stage 1 hypertension. However, the guidelines did not include recommendations for patients whose blood pressure is unresponsive to lifestyle therapy. The authors review the updated AHA position statement, which is meant to help clinicians manage patients with stage 1 hypertension and a low 10-year risk of atherosclerotic cardiovascular disease.

  • Copyright © 2022 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 89 (5)
Cleveland Clinic Journal of Medicine
Vol. 89, Issue 5
1 May 2022
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Managing stage 1 hypertension: Consider the risks, stop the progression
Abel Hooker, Kevin G. Buda, Maarya Pasha
Cleveland Clinic Journal of Medicine May 2022, 89 (5) 244-248; DOI: 10.3949/ccjm.89a.21101

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Managing stage 1 hypertension: Consider the risks, stop the progression
Abel Hooker, Kevin G. Buda, Maarya Pasha
Cleveland Clinic Journal of Medicine May 2022, 89 (5) 244-248; DOI: 10.3949/ccjm.89a.21101
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  • Article
    • ABSTRACT
    • CLINICAL SETTING
    • INTENDED AUDIENCE
    • WHO WROTE THE GUIDELINES?
    • WHAT ARE THE MAIN RECOMMENDATIONS?
    • SIGNIFICANCE OF LIFETIME RISK FOR CVD AND PROGRESSION OF HYPERTENSION
    • BLUNTING THE PROGRESSION OF HYPERTENSION WITH LIFESTYLE THERAPY
    • RECOMMENDATIONS WHEN LIFESTYLE THERAPY FAILS
    • WHAT IS DIFFERENT FROM PRIOR GUIDELINES?
    • DO OTHER SOCIETIES AGREE?
    • HOW WILL THIS CHANGE DAILY PRACTICE?
    • WHEN WOULD THE GUIDELINES NOT APPLY?
    • THE BOTTOM LINE
    • DISCLOSURES
    • REFERENCES
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