• Medicina clinica · Apr 2020

    Case Reports

    Impact of the new criteria of the ACC/AHA on the diagnostic prevalence of hypertension.

    • José Miguel Baena Díez, María Carrera Morodo, Miriam Corral Roca, Eva Calatayud Subías, Iris Flores Jiménez, and Ana María de la Arada Acebes.
    • Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España; IDIAP Jordi Gol, Institut Catalá de la Salut , Barcelona, España. Electronic address: josemibaena@gmail.com.
    • Med Clin (Barc). 2020 Apr 10; 154 (7): 254-256.

    ObjectiveTo study the impact on the prevalence of hypertension with the criteria (2017) of the American College of Cardiology/American Heart Association (ACC/AHA).Patients And MethodsCross-sectional study, including 370 patients ≥18 years, randomly selected in a Health Centre, with at least one visit and a measurement of systolic (SBP) and diastolic blood pressure (DBP) recorded the last 2 years. Previous hypertension was considered if the diagnosis was confirmed or they had an SBP ≥140 or DBP ≥90mmHg and as ACC/AHA AHT criteria in any of these cases or an SBP between 130-139mmHg or DBP between 80-89mmHg.ResultsThe average age was 52.3 years (58.6% women). Forty-one point nine percent had previous hypertension, increasing to 67.8% with the ACC/AHA criteria (p <.05). Pharmacological treatment was received by 32.2% of the population, increasing to 38.4% with the ACC/AHA criteria (p>.05). The newly diagnosed patients (p <.05) were younger (mean difference 19.6 years) and less obese (23% vs. 41.4%).ConclusionsThe ACC/AHA criteria would represent an increase of 25.9% in the prevalence of hypertension, considering 2 out of 3 adults hypertensive.Copyright © 2019 Elsevier España, S.L.U. All rights reserved.

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