Abstract:
:The International Society of Hypertension (ISH) has recently developed practice guidelines for the management of hypertension in adults aged ≥18 years. Conceptually, the 2020 ISH Guidelines are closer to the 2018 ESC/ESH Guidelines rather than to the 2017 ACC/AHA Guidelines. The ISH Guidelines have two distinctive features when compared with the 2018 European Society of Cardiology/European Society of Hypertension (ESC/ESH) Guidelines and the 2017 American College of Cardiology/American Heart Association (ACC/AHA) Guidelines. First, they are written in a concise and easy-to-read style; second, they focuses on practical issues related to the management of hypertension in 'high-income' as well as in 'low-income' countries, where there is limited access to resources for the diagnosis and treatment of hypertension. In our opinion, the 2020 ISH Guidelines share with the 2018 ESC/ESH Guidelines an important limitation which may impair the retention of these key aspects of Guidelines by physicians, with consequent difficult adoption in clinical practice. It consists in the definition of several blood pressure targets in relation to age, target organ damage and concomitant disease. We believe that results of randomized clinical trials and meta-analysis do not support the recommendation of differential BP targets, as well as of rigid 'safety boundaries'. This review critically examines similarities and differences across the three major Hypertension Guidelines, which include the definition of hypertension, drug treatment, and blood pressure targets, with emphasis on key messages relevant for clinical practice.
journal_name
Eur J Intern Medjournal_title
European journal of internal medicineauthors
Verdecchia P,Reboldi G,Angeli Fdoi
10.1016/j.ejim.2020.09.001subject
Has Abstractpub_date
2020-12-01 00:00:00pages
1-6eissn
0953-6205issn
1879-0828pii
S0953-6205(20)30346-0journal_volume
82pub_type
杂志文章,评审abstract::In all industrialized countries, life expectancy has risen in the past 100 years. The incidence of elderly patients reaching end-stage renal disease (ESRD) and requiring renal replacement therapy has also increased. During the past few decades, the pattern of ESRD has changed significantly with the emerging predominan...
journal_title:European journal of internal medicine
pub_type: 杂志文章
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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journal_title:European journal of internal medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ejim.2016.12.010
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
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journal_title:European journal of internal medicine
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journal_title:European journal of internal medicine
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:European journal of internal medicine
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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更新日期:2020-11-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ejim.2012.11.007
更新日期:2013-06-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
doi:10.1016/j.ejim.2016.12.022
更新日期:2017-03-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
doi:10.1016/j.ejim.2008.01.011
更新日期:2008-11-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章,多中心研究
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更新日期:2015-05-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
doi:10.1016/j.ejim.2005.07.005
更新日期:2005-11-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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journal_title:European journal of internal medicine
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journal_title:European journal of internal medicine
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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journal_title:European journal of internal medicine
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
doi:10.1016/j.ejim.2003.09.001
更新日期:2003-11-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
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journal_title:European journal of internal medicine
pub_type: 杂志文章
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更新日期:2003-08-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章
doi:10.1016/j.ejim.2016.07.031
更新日期:2017-01-01 00:00:00
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journal_title:European journal of internal medicine
pub_type: 杂志文章,评审
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更新日期:2014-03-01 00:00:00