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Inicio Medicina Clínica (English Edition) Impact of the new criteria of the ACC/AHA on the diagnostic prevalence of hypert...
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Vol. 154. Issue 7.
Pages 254-256 (April 2020)
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Vol. 154. Issue 7.
Pages 254-256 (April 2020)
Brief report
DOI: 10.1016/j.medcle.2019.06.019
Impact of the new criteria of the ACC/AHA on the diagnostic prevalence of hypertension
Impacto de los nuevos criterios de la ACC/AHA sobre la prevalencia diagnóstica de hipertensión arterial
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José Miguel Baena Díeza,b,
Corresponding author
josemibaena@gmail.com

Corresponding author.
, Maria Carrera Morodoa, Miriam Corral Rocaa, Eva Calatayud Subíasa, Iris Flores Jiméneza, Ana María de la Arada Acebesa
a Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Català de la Salut, Barcelona, Spain
b IDIAP Jordi Gol, Institut Català de la Salut, Barcelona, Spain
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Tables (2)
Table 1. Study participants characteristics (n = 370).
Table 2. Differences between patients with previous HT and exclusively with the ACC/AHA criteria according to the descriptive variables of the study.
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Abstract
Objective

To 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 methods

Cross-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 ≥ 90 mmHg and as ACC/AHA AHT criteria in any of these cases or an SBP between 130−139 mmHg or DBP between 80 and 89 mmHg.

Results

The 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%).

Conclusions

The ACC/AHA criteria would represent an increase of 25.9% in the prevalence of hypertension, considering 2 out of 3 adults hypertensive.

Keywords:
Hypertension
Prevalence
Diagnosis
Practice guidelines
Resumen
Objetivo

Estudiar el impacto sobre la prevalencia de hipertensión arterial (HTA) con los criterios (2017) del American College of Cardiology/American Heart Association (ACC/AHA).

Pacientes y métodos

Estudio descriptivo transversal, incluyendo 370 pacientes ≥18 años, seleccionados aleatoriamente en un Centro de Salud, al menos con una visita y una medida de presión arterial sistólica (PAS) y diastólica (PAD) registrada los últimos 2 años. Se consideró HTA previa si constaba el diagnóstico o tenían una PAS ≥ 140 ó PAD ≥ 90 mmHg y como HTA criterios ACC/AHA en cualquiera de estos supuestos o constaba una PAS entre 130−139 mmHg ó PAD entre 80−89 mmHg.

Resultados

La edad media fue 52,3 años (58,6% mujeres). El 41,9% tenían HTA previa, aumentando al 67,8% con los criterios ACC/AHA (p < 0,05). Recibía tramiento farmacológico el 32,2% de la población, aumentando al 38,4% con los criterios ACC/AHA (p > 0,05). Los nuevos diagnósticos (p < 0,05) eran más jóvenes (diferencia medias 19,6 años) y menos obesos (23% vs 41,4%).

Conclusiones

Los criterios ACC/AHA supondrían un aumento del 25,9% en la prevalencia de HTA, considerando hipertensas 2 de cada 3 personas adultas.

Palabras clave:
Hipertensión
Prevalencia
Criterios diagnósticos
Guías de práctica clínica

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