Posicionamiento para el manejo de la hipertensión arterial en atención primaria a partir del análisis crítico de las guías americana (2017) y europea (2018). Sociedad Española de Médicos de Atención Primaria (SEMERGEN)
- V. Pallarés-Carratalá 12
- J.A. Divisón Garrote 34
- M.A. Prieto Díaz 5
- L. García Matarín 6
- M.C. Seoane Vicente 7
- F. Molina Escribano 8
- S. Velilla Zancada 9
- D. Rey Aldanaj 10
- S. Cinza Sanjurjo 1112
- C. Santos Altozano 13
- J.L. Górriz 1415
- F.J. Alonso Moreno 16
- J. Polo García 17
- A. Barquilla García 18
- P. Beato Fernández 19
- C. Escobar Cervantes 20
- 1 Unidad de Vigilancia de la Salud, Unión de Mutuas, Castellón, España
- 2 Universitat Jaume I, Castellón, España
- 3 Centro de Salud Casas Ibañez, Casas Ibáñez, Albacete, España
- 4 Universidad Católica San Antonio de Murcia, Murcia, España
- 5 Centro de Salud Vallobín-La Florida, Oviedo, España
- 6 Centro de Salud de Vícar, Vícar, Almería, España
- 7 Centro de Salud Acequión, Torrevieja, Alicante, España
- 8 Centro de Salud Casas Ibañez, Consultorio Balsa de Ves, Balsa de Ves, Albacete, España
- 9 Centro de Salud de Nájera, Nájera, La Rioja, España
- 10 Centro de Salud A Estrada, A Estrada, Pontevedra, España
- 11 Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España
- 12 Centro de Salud Porto do Son, Porto de Son, A Coruña, España
- 13 Centro de Salud Suerte de Saavedra, Badajoz, España
- 14 Servicio de Nefrología, Hospital Clínico de Valencia, Valencia, España
- 15 Facultad de Medicina, Universidad de Valencia, Valencia, España
- 16 Centro de Salud Sillería, Toledo, España
- 17 Centro de Salud Casar de Cáceres, Casar de Cáceres, Cáceres, España
- 18 Centro de Salud de Trujillo, Trujillo, Cáceres, España
- 19 CAP Premià, Premià de Mar, Premià de Mar, Barcelona, España
- 20 Servicio de Cardiología, Hospital Universitario La Paz, Madrid, España
ISSN: 1138-3593
Year of publication: 2019
Issue: 4
Pages: 251-272
Type: Article
More publications in: Semergen: revista española de medicina de familia
Abstract
The Scientific Societies of Primary Care, being the area in which there is a considerable prevalence of Arterial Hypertension (AHT), need to periodically evaluate the international guidelines for its management. This is particularly relevant when disparate guidelines make it difficult to make decisions in daily clinical practice. The present document has as its aim to analyse the changes and new developments proposed in the guidelines of the American College of Cardiology and the American Heart Association (ACC/AHA 2017), as well as in the guidelines of the European Society of Cardiology and European Society of Hypertension (ESC/ESH 2018). An analysis will be made of any differences, limitations, and their applicability to Primary Care in Spain. Finally, the most relevant available and appropriate information is extracted and integrated in order to homogenise the care of the hypertensive patient, from a critical, but also a reasoned, perspective. The discrepancies between the recommendations in such essential aspects as the management of the disease, require the compiling and critical analysis of the information that enables us as scientific society, interested in providing all PC physicians with the most relevant, and at the same time, sensible, recommendations of all the guidelines.
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