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https://doi.org/10.15836/ccar2017.413
Practical guidelines for diagnosing arterial hypertension of the Croatian Society of Hypertension of Croatian Medical Association and the Working Group on Hypertension of the Croatian Cardiac Society.
Bojan Jelaković
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Maja Baretić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Maja Čikeš
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Živka Dika
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Margareta Fištrek Prlić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Ana Jelaković
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Jelena Kos
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Ivana Kraljević
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Mario Laganović
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Robert Likić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Martina Lovrić Benčić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Draško Pavlović
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Darko Počanić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Hrvoje Tiljak
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Majda Vrkić Kirhmajer
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Tajana Željković Vrkić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Željko Reiner
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Davor Miličić
; Croatian Society of Hypertension of Croatian Medical Association, Croatia
Abstract
Arterial hypertension is the main independent risk factor for cardiovascular morbidity and mortality. The prevalence of hypertension is increasing in most countries. Despite the availability of all classes of antihypertensive drugs, the rate control in hypertension treatment is insufficient, for which there are abundant explanations. One of the main reasons is the gap between evidence-based guidelines and their applicability in practice, a gap which leads to poor rate control in hypertension and increases the number of premature cardiovascular events and death. The first step in the management of a hypertensive patient is rational diagnosis, i.e., to avoid increasing the expenses of treating this mass chronic disease by unnecessary tests and to minimize errors. The aim of these practical guidelines for diagnosis of hypertension is for them to be practical and useful in everyday practice. There is an emphasis on particular procedures and data with exact cut-off values. The aim of these guidelines is not only to guide and simplify our decision-making process in everyday work, but also to educate. We thus provide reminders on some fundamental knowledge. There are some novel elements (instructions of heart rate, place and role of central blood pressure and pulse wave velocity measurement, estimation of renal function, IT e.g. telemonitoring, and the use of smartphone apps). At the end of the guidelines, we provide several appendices which could be useful in everyday clinical work, such as questionnaires for sleep apnea syndrome, questionnaires for erectile and sexual dysfunction, cognitive dysfunction questionnaires, and others. In these guidelines, we wanted to be practical, precise, and realistic given the options available in our work setting. The objective was to show and cover as many specific facts and procedures as possible that we find useful in everyday work, so that the clinician does not have to waste time searching the guidelines or literature.
Keywords
hypertension; guidelines; diagnosis
Hrčak ID:
191510
URI
Publication date:
21.12.2017.
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