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screening for hypertension

Indications: - blood pressure screening in - adults >=18 years of age with office-based blood pressure measurement [5] - annual screening for hypertension in adults >= 40 years & for adults at increased risk for hypertension (Black persons, overweight or obese) [5] - screening every 3-5 years for most young adults 18-39 years [5] Management: - office blood pressure (BP) measurements should be repeated (see blood pressure) - ambulatory blood pressure should be used to confirm high blood pressure before a patient is diagnosed with hypertension [3,4] - 5-65% of patients with high blood pressure readings in the office are normotensive on ambulatory monitoring [3] - home blood pressure monitoring may be alternative [3,4] - a diagnosis of hypertension should be based on average of >=2 elevated systolic BP &/or diastolic BP obtain on >= 2 occasions (MKSAP19) [6] - the optimal screening interval is not known [1] - insufficient evidence to recommend screening for hypertension in asymptomatic children & adolescents [2,5] - obtain blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment [5]

Related

hypertension (HTN, high blood pressure, HBP)

General

screening for cardiovascular disease

References

  1. US Preventive Services Task Force. Screening for high blood pressure: US Preventive Services Task Force reaffirmation recommendation statement. Ann Intern Med 2007, 147:783 PMID: 18056662 - Wolff T and Miller T Evidence for the US Preventive Services Task Force recommendation on screening for high blood pressure. Ann Intern Med 2007, 147:787 PMID: 18056663 - corresponding NGC guideline withdrawn Jan 2013
  2. Moyer VA et al Screening for Primary Hypertension in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 8 October 2013 PMID: 24097285 http://annals.org/article.aspx?articleid=1747317 - U.S. Preventive Services Task Force (USPSTF) Draft Recommendation Statement. April 21, 2020 High Blood Pressure in Children and Adolescents: Screening https://www.uspreventiveservicestaskforce.org/uspstf/document?DOC=draft-recommendation-statement&TOPIC=high-blood-pressure-in-children-and-adolescents-screening-2020
  3. U.S. Preventive Services Task Force Draft Recommendation Statement. High Blood Pressure in Adults: Screening http://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementDraft/hypertension-in-adults-screening-and-home-monitoring - Piper MA et al Diagnostic and Predictive Accuracy of Blood Pressure Screening Methods With Consideration of Rescreening Intervals: An Updated Systematic Review for the U.S. Preventive Services Task Force. Ann Intern Med. Published online 23 December 2014 PMID: 25531400 http://annals.org/article.aspx?articleid=2085846
  4. Siu AL on behalf of the U.S. Preventive Services Task Force Screening for High Blood Pressure in Adults: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. Published online 13 October 2015 PMID: 26458123 http://annals.org/article.aspx?articleid=2456129
  5. U.S. Preventive Services Task Force (USPSTF) Screening for Hypertension in Adults. US Preventive Services Task Force Reaffirmation Recommendation Statement. JAMA. 2021;325(16):1650-1656. PMID: 33904861 https://jamanetwork.com/journals/jama/fullarticle/2779190 - Guirguis-Blake JM, Evans CV, Webber EM et al Screening for Hypertension in Adults. Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2021;325(16):1657-1669 PMID: 33904862 https://jamanetwork.com/journals/jama/fullarticle/2779191 - Abdalla M, Muntner P, Peterson ED The USPSTF Recommendation on Blood Pressure Screening. Making 2021 the Transformative Year in Controlling Hypertension. JAMA. 2021;325(16):1618-1619 PMID: 33904886 https://jamanetwork.com/journals/jama/fullarticle/2779218 - Anstey DE, Bradley C, Shimbo D USPSTF Recommendation Statement on Hypertension Screening in Adults - Where Do We Go From Here? JAMA Netw Open. 2021;4(4):e214203. PMID: 33904916 Free article https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2779122
  6. Medical Knowledge Self Assessment Program (MKSAP) 19. American College of Physicians, Philadelphia 2021

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screening for cardiovascular disease