European Primary Care Cardiovascular Society

Hypertension – can we agree on diagnostic and therapeutic thresholds?

Prof. Richard McManus - Oxford, UK

EPCCS 2018 An impression of the presentation of Prof. Richard McManus on the evidence of thresholds, the difference in guidelines and the role of the GP, given during the Annual EPCCS CV Summit.

Slides | Practical workshop on ABPM

Mar. 15, 2018 - Barcelona, Spain - Dr. M.C. van der Wel - Nijmegen
Slides prepared and presented by Dr. M.C. van der Wel (Nijmegen), here offered as an educational service.

EPCCS 2018 Slides prepared and presented by Dr. M.C. van der Wel (Nijmegen), here offered as an educational service.

Slides | Hypertension - can we agree on diagnostic and therapeutic thresholds

Mar. 15, 2018 - Barcelona, Spain - Prof. Richard McManus - Oxford, UK
**EPCCS 2018** Slides prepared and presented by Prof. Richard McManus (Oxford, UK), here offered as an educational service.

EPCCS 2018 Slides prepared and presented by Prof. Richard McManus (Oxford, UK), here offered as an educational service.

When diastolic BP falls below 55 mmHg, the risk of CV events increased

Apr. 3, 2018 - Khan NA et al. - Hypertension. 2018

In the SPRINT study, a diastolic threshold of <55 mmHg was associated with increased cardiovascular events in both patients with and without cardiovascular disease.

Pharmacist intervention in American 'black barbershops' effective at lowering BP

Mar. 12, 2018 - ACC 2018, Orlando, FL, USA - Dr. Ronald Victor, MD - Los Angeles, CA, USA
Barbershops and pharmacists worked together in Los Angeles County, to improve high BP in non-hispanic black men, a group with particularly high rates of uncontrolled hypertension. In a randomized design, a pharmacist intervention led to 27 mmHg drop over 6 months, vs. 9 mmHg in controls.

ACC 2018 Black barbershops and pharmacists worked together to improve high BP in non-hispanic black men. In a randomized design, a pharmacist intervention led to 27 mmHg drop in SBP over 6 months, vs. 9 mmHg in controls.

Stimulating health behaviour changes to reduce cardiovascular risk in primary care

Scroll down to download a free copy

EPCCS Consensus Guidance for Primary Care
EPCCS Consensus Guidance for Primary Care

Lifestyle importantly contributes to preventable morbidity and mortality. This EPCCS guidance document outlines the presented evidence on ingredients of successful behaviour change strategies and motivational interviewing, as well as which CV risk behaviours and clinical outcomes may be improved with various types of strategies.

New ACC/AHA Hypertension Practice Guidelines stress lifestyle improvement and lower SBP target

Nov. 14, 2017 - news

AHA 2017 The new guidelines now define hypertension as >130/80 mmHg, emphasize the need for lifestyle changes and specify details of accurate BP measurement methods. 

In the SPRINT trial, presence or absence of staff did not affect observed CVD risk reduction

Nov. 14, 2017 - news
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AHA 2017 A post-hoc survey of the SPRINT examined whether the presence or absence of physician or nursing in the BP measurement changed the treatment effect.

Hypertension in midlife associated with higher risk of dementia in women

Oct. 18, 2017 - Gilsanz P et al., Neurology 2017

Although midlife hypertension is more common in men, it was only associated with the risk of dementia in women, suggesting that hypertension is a modifiable risk factor for dementia in women.

Diabetic patients at high CV risk benefit from intensive BP control

Oct. 5, 2017 - Buckley LF et al., Diabetes Care 2017

In a SPRINT-eligible ACCORD-BP population, a high-risk cohort of diabetic patients, intensive BP control at a goal of <120 mmHg, reduced CVD outcomes.

Obesity without metabolic abnormalities still associated with increased CV risk

Sep. 25, 2017 - Caleyachetty R et al., J Am Coll Cardiol 2017

Individuals previously considered “metabolically healthy obese” are still at higher CV risk compared with normal weight metabolically healthy persons, according to a large UK health record dataset.

In patients with very high BP, intensive blood pressure lowering can be harmful

Sep. 9, 2017 - news

ESC 2017 Posthoc SPRINT analysis shows that persons with SBP ≥160 mmHg and low Framingham risk score, have a higher risk of all-cause mortality with intensive treatment.