The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee

The Eighth Joint National Committee has several controversial aspects. One of them is the recommendation to raise the treatment goal in hypertensive patients over 60 years of age (with no history of diabetes or chronic kidney disease) to <150/90 mmHg. This paper discusses the results of a stu...

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Main Authors: Ernesto Ledesma Sánchez, Carlos Alberto Hernández Rodríguez, Alexander Miguel Martínez Pérez, Alberto Morales Salinas
Format: Article
Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2015-09-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/361
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author Ernesto Ledesma Sánchez
Carlos Alberto Hernández Rodríguez
Alexander Miguel Martínez Pérez
Alberto Morales Salinas
author_facet Ernesto Ledesma Sánchez
Carlos Alberto Hernández Rodríguez
Alexander Miguel Martínez Pérez
Alberto Morales Salinas
author_sort Ernesto Ledesma Sánchez
collection DOAJ
description The Eighth Joint National Committee has several controversial aspects. One of them is the recommendation to raise the treatment goal in hypertensive patients over 60 years of age (with no history of diabetes or chronic kidney disease) to <150/90 mmHg. This paper discusses the results of a study from the Practice Innovation and Clinical Excellence Registry comprising 1,185,253 hypertensive individuals treated at US medical ambulatory services. It showed that approximately 15 % of the hypertensive meet the less stringent treatment goal of the Eighth Joint National Committee, but not the one recommended by the Seven Joint National Committee (<140/90 mmHg) and that this subgroup of hypertensive patients frequently face a high cardiovascular risk. The biases are also commented.
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publishDate 2015-09-01
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spelling doaj-art-bdc88b4eb2ac4360bf9a9ee17fe43b2a2025-01-30T21:21:57ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342015-09-0153215217221The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National CommitteeErnesto Ledesma Sánchez0Carlos Alberto Hernández Rodríguez1Alexander Miguel Martínez Pérez2Alberto Morales Salinas3Cardiocentro Ernesto Che Guevara. Villa Clara.Hospital Universitario Docente Celestino Hernández Robau. Villa Clara.Hospital Ginecobstétrico Docente Provincial Mariana Grajales. Villa Clara.Cardiocentro Ernesto Che Guevara. Villa Clara.The Eighth Joint National Committee has several controversial aspects. One of them is the recommendation to raise the treatment goal in hypertensive patients over 60 years of age (with no history of diabetes or chronic kidney disease) to <150/90 mmHg. This paper discusses the results of a study from the Practice Innovation and Clinical Excellence Registry comprising 1,185,253 hypertensive individuals treated at US medical ambulatory services. It showed that approximately 15 % of the hypertensive meet the less stringent treatment goal of the Eighth Joint National Committee, but not the one recommended by the Seven Joint National Committee (<140/90 mmHg) and that this subgroup of hypertensive patients frequently face a high cardiovascular risk. The biases are also commented.https://revfinlay.sld.cu/index.php/finlay/article/view/361antagonistas adrenérgicos betahipertensiónancianoregistros de enfermedadesservicios ambulatorios de saludestados unidos
spellingShingle Ernesto Ledesma Sánchez
Carlos Alberto Hernández Rodríguez
Alexander Miguel Martínez Pérez
Alberto Morales Salinas
The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee
Revista Finlay
antagonistas adrenérgicos beta
hipertensión
anciano
registros de enfermedades
servicios ambulatorios de salud
estados unidos
title The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee
title_full The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee
title_fullStr The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee
title_full_unstemmed The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee
title_short The Practice Innovation and Clinical Excellence Registry and the Eighth Joint National Committee
title_sort practice innovation and clinical excellence registry and the eighth joint national committee
topic antagonistas adrenérgicos beta
hipertensión
anciano
registros de enfermedades
servicios ambulatorios de salud
estados unidos
url https://revfinlay.sld.cu/index.php/finlay/article/view/361
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