Chronic hypertension other diagnostic studies

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Chronic Hypertension Microchapters

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2017 ACC/AHA Hypertension Guidelines

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Overview

2013 ESH/ESC Guidelines For The Management of Arterial Hypertension (DO NOT EDIT)[1]

Summary of Recommendations on The Search for Asymptomatic Cardiovascular Disease (DO NOT EDIT)[1]

"1. Whenever history suggests myocardial ischaemia, a stress ECG test is recommended, and, if positive or ambiguous, an imaging stress test (stress echocardiography, stress cardiac magnetic resonance or nuclear scintigraphy) is recommended. (Level of Evidence: C)"
Class IIa
"1. Ultrasound scanning of carotid arteries should be considered to detect vascular hypertrophy or asymptomatic atherosclerosis, particularly in the elderly. (Level of Evidence: B)"
"2. Carotid–femoral PWV should be considered to detect large artery stiffening. (Level of Evidence: B)"
"3. Ankle–brachial index should be considered to detect PAD. (Level of Evidence: B)"

Summary of Recommendations on The Search for Asymptomatic Organ Damage (DO NOT EDIT)[1]

Class IIa
"1. Examination of the retina should be considered in difficult to control or resistant hypertensive patients to detect hemorrhages, exudates, and papilledema, which are associated with increased CV risk. (Level of Evidence: C)"
Class III
"1. Examination of the retina is not recommended in mild-to-moderate hypertensive patients without diabetes, except in young patients. (Level of Evidence: C)"

References

  1. 1.0 1.1 1.2 Authors/Task Force Members. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A; et al. (2013). "2013 ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)". Eur Heart J. 34 (28): 2159–219. doi:10.1093/eurheartj/eht151. PMID 23771844.

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