Wednesday 2 April 2014

Hypertension

Evidence Based Reports

Twenty-four-hour ambulatory blood pressure monitoring in hypertension: an evidence-based analysis (2013)[DARE] [Health Quality Ontario] NEW

Comparative effectiveness of antihypertensive medication for primary prevention of cardiovascular disease: systematic review and multiple treatments meta-analysis (2013)[DARE] NEW

Comparative effectiveness of renin-angiotensin system blockers and other antihypertensive drugs in patients with diabetes: systematic review and Bayesian network meta-analysis (2013)[DARE] NEW

Angiotensin-converting enzyme inhibitors reduce mortality in hypertension: a meta-analysis of randomized clinical trials of renin-angiotensin-aldosterone system inhibitors involving 158 998 patients (2013)[DARE] NEW

Catheter-Based Renal Denervation for Treatment-Resistant Hypertension (2013)[CADTH] NEW
 
Renal Denervation for Resistant Hypertension (2013) [MUHC] NEW

Treatment of hypertension in peripheral arterial disease(2013)[Cochrane] updated

Percutaneous transluminal radiofrequency sympathetic denervation of the renal artery for resistant hypertension(2012)[NICE]NEW

Effectiveness of Self-Measured Blood Pressure Monitoring in Adults With Hypertension (2012)[AHRQ] [DARE] NEW

Garlic for the prevention of cardiovascular morbidity and mortality in hypertensive patients (2012) [Cochrane] NEW

Antihypertensive effects of olmesartan compared with other angiotensin receptor blockers: a meta-analysis (2012)[DARE] NEW

Antihypertensive effects and safety of eprosartan: a meta-analysis of randomized controlled trials (2012)[DARE] NEW

Azilsartan medoxomil (Edarbi) for the treatment of essential hypertension in adults (2012) [AWMSG]NEW

Blood pressure lowering efficacy of alpha blockers for primary hypertension(2012)[Cochrane] updated
 
Blood pressure lowering efficacy of loop diuretics for primary hypertension(2012)[Cochrane] updated
 
Blood pressure lowering efficacy of potassium-sparing diuretics (that block the epithelial sodium channel) for primary hypertension (2012) [Cochrane] updated

Beta-blockers for hypertension (2012) [Cochrane] updated

Fermented milk for hypertension (2011)[Cochrane]

Antihypertensive drugs and risk of cancer: network meta-analyses and trial sequential analyses of 324168 participants from randomised trials (2011)[DARE]

Relative effectiveness of clinic and home blood pressure monitoring compared with ambulatory blood pressure monitoring in diagnosis of hypertension: systematic review (2011)[DARE]

Long-term effects of weight-reducing diets in hypertensive patients (2011)[Cochrane]

Blood pressure lowering efficacy of renin inhibitors for primary hypertension (2011)[Cochrane]

Antiplatelet agents and anticoagulants for hypertension (2011)[Cochrane]

Creatine and creatine analogues in hypertension and cardiovascular disease (2011)[Cochrane]

Hydralazine for essential hypertension (2011)[Cochrane]

Diabetes: treating hypertension (2011) [Clinical Evidence] Athens Log-in required

ACEIs, ARBs, or DRI for Adults With Hypertension (2011)[AHRQ]

New evidence supports more rigorous measurement of blood pressure for the diganosis of hypertension (2011) [MeRec Rapid Review]

Spironolactone for hypertension (2010)[Cochrane]

Evening versus morning dosing regimen drug therapy for hypertension (2010)[Cochrane]

Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis(2010) [DARE]

The effectiveness of Hibiscus sabdariffa in the treatment of hypertension: a systematic review (2010)[DARE]

Calcium channel blockers versus other classes of drugs for hypertension (2009) [Cochrane]

 Blood pressure lowering efficacy of beta-blockers as second-line therapy for primary hypertension (2009)[Cochrane]

Roselle for hypertension in adults (2009) [Cochrane]

Clevidipine (Cleviprex) for acute hypertension (2009)[National Horizon Scanning Centre]

The effects of biofeedback for the treatment of essential hypertension: a systematic review (2009) [NCCHTA]

Blood pressure lowering efficacy of reserpine for primary hypertension (2009)[Cochrane]

Blood pressure lowering efficacy of diuretics as second-line therapy for primary hypertension (2009)[Cochrane] [Cochrane PEARLS]

Blood pressure lowering efficacy of coenzyme Q10 for primary hypertension(2009)[Cochrane]

First-line drugs for hypertension(2009)[Cochrane] [Cochrane PEARLS]

Interventions used to improve control of blood pressure in patients with hypertension (2008) [Cochrane]

Treatment blood pressure targets for hypertension (2008)[Cochrane]

Methyldopa for primary hypertension (2008)[Cochrane] [Cochrane PEARLS]

Primary prevention of CVD: treating hypertension (2007) [ Clinical Evidence]Athens Log-in required 

Relaxation therapies for the management of primary hypertension in adults (2007) [Cochrane]

Pharmacological interventions for hypertensive emergencies (2007)[Cochrane]

Blood pressure lowering efficacy of angiotensin converting enzyme (ACE) inhibitors for primary hypertension (2007)[Cochrane]

Blood pressure lowering efficacy of angiotensin receptor blockers for primary hypertension (2007)[Cochrane]

Closing the quality gap: a critical analysis of quality improvement strategies. Volume 3 - hypertension care (2004) [AHRQ]


Clinical Guidelines

2013 ESH/ESC Guidelines for the management of arterial hypertension [ESH/ESC] NEW

Hypertension - not diabetic (2012) [CKS]updated

Hypertension (2012)[Map of Medicine]

Hypertension: Clinical management of primary hypertension in adults (2011)[NICE]



Recent articles in core journals

Percutaneous renal denervation in patients with treatment-resistant hypertension: final 3-year report of the Symplicity HTN-1 study (2014)[Lancet] NEW

Effects of body size and hypertension treatments on cardiovascular event rates: subanalysis of the ACCOMPLISH randomised controlled trial (2013)[Lancet] NEW

Angiotensin receptor blockers and risk of cancer: cohort study among people receiving antihypertensive drugs in UK General Practice Research Database (2012)[BMJ] NEW

Lay perspectives on hypertension and drug adherence: systematic review of qualitative research (2012)[BMJ] NEW

Angiotensin receptor blockers and risk of cancer: cohort study among people receiving antihypertensive drugs in UK General Practice Research Database (2011)[BMJ]

Long-term follow-up of participants with heart failure in the antihypertensive and lipid-lowering treatment to prevent heart attack trial (ALLHAT) (2011)[Circulation]

Comparison of continuous positive airway pressure and valsartan in hypertensive patients with sleep apnea (2010)[Am J Respir Crit Care Med]

Continuous positive airway pressure as treatment for systemic hypertension in people with obstructive sleep apnoea: randomised controlled trial (2010)[BMJ]


eTextbooks

Management of Hypertension (2013)[Mentor] updated

Hypertension (2013) [Mentor] updated

Prescribing antihypertensives: what the patient is thinking (2007)[BMJ Learning]



Clinical Queries

Is there any suggestion that one class of antihypertensives helps reduce progression of memory loss? Patient had read amlodopine may be more protective than ACE or A2? (2014)[ATTRACT] NEW

I have a patient with hypertension, he wonders if working nights would exacerbate this? What evidence is there of health risks of night working (2013)[ATTRACT] NEW

Hi is there any evidence that eating liqorice can cause raised BP, or affect antihypertensives efficacy (2012)[ATTRACT]

Can you tell me in which conditions it is recommended to use aspirin for primary prevention? In particular I am interested in hypertension and diabetes (2011)[ATTRACT]



Patient Information

Medication for High Blood Pressure (2014)[Patient UK] updated

High blood pressure (2013) [BUPA Health Information] updated

High blood pressure (hypertension) (2013)[Patient UK] updated

High blood pressure (hypertension) (2012) [NHS Choices Online]







Important

1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.

2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

1 comment:

C. Holesterol said...

Hmm.. this is a good and new knowledge for me. I just know Healthy BMI can prevent Hypertension.