title: The 2010 Canadian Hypertension Education Program recommendations for the management of hypertension: part I - blood pressure measurement, diagnosis and assessment of risk.
abstract: OBJECTIVE
  To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.
  
  
  METHODS
  MEDLINE searches were conducted from November 2008 to October 2009 with the aid of a medical librarian. Reference lists were scanned, experts were contacted, and the personal files of authors and subgroup members were used to identify additional studies. Content and methodological experts assessed studies using prespecified, standardized evidence-based algorithms. Recommendations were based on evidence from peer-reviewed full-text articles only.
  
  
  CONCLUSIONS
  Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global cardiovascular risk, diagnostic testing, diagnosis of renovascular and endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Changes to the recommendations for 2010 relate to automated office blood pressure measurements. Automated office blood pressure measurements can be used in the assessment of office blood pressure. When used under proper conditions, an automated office systolic blood pressure of 135 mmHg or higher or diastolic blood pressure of 85 mmHg or higher should be considered analogous to a mean awake ambulatory systolic blood pressure of 135 mmHg or higher and diastolic blood pressure of 85 mmHg or higher, respectively.
  
  
  RESULTS
  All recommendations were graded according to strength of the evidence and voted on by the 63 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. To be approved, all recommendations were required to be supported by at least 70% of task force members. These guidelines will continue to be updated annually.
authors.affiliation: Division of Nephrology, University of Calgary, Alberta. rob.quinn@albertahealthservices.ca
authors.forename: Robert R
authors.initials: RR
authors.lastname: Quinn
authors.forename: Brenda R
authors.initials: BR
authors.lastname: Hemmelgarn
authors.forename: Raj S
authors.initials: RS
authors.lastname: Padwal
authors.forename: Martin G
authors.initials: MG
authors.lastname: Myers
authors.forename: Lyne
authors.initials: L
authors.lastname: Cloutier
authors.forename: Peter
authors.initials: P
authors.lastname: Bolli
authors.forename: Donald W
authors.initials: DW
authors.lastname: McKay
authors.forename: Nadia A
authors.initials: NA
authors.lastname: Khan
authors.forename: Michael D
authors.initials: MD
authors.lastname: Hill
authors.forename: Jeff
authors.initials: J
authors.lastname: Mahon
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Hackam
authors.forename: Steven
authors.initials: S
authors.lastname: Grover
authors.forename: Thomas
authors.initials: T
authors.lastname: Wilson
authors.forename: Brian
authors.initials: B
authors.lastname: Penner
authors.forename: Ellen
authors.initials: E
authors.lastname: Burgess
authors.forename: Finlay A
authors.initials: FA
authors.lastname: McAlister
authors.forename: Maxime
authors.initials: M
authors.lastname: Lamarre-Cliche
authors.forename: Donna
authors.initials: D
authors.lastname: McLean
authors.forename: Ernesto L
authors.initials: EL
authors.lastname: Schiffrin
authors.forename: George
authors.initials: G
authors.lastname: Honos
authors.forename: Karen
authors.initials: K
authors.lastname: Mann
authors.forename: Guy
authors.initials: G
authors.lastname: Tremblay
authors.forename: Alain
authors.initials: A
authors.lastname: Milot
authors.forename: Arun
authors.initials: A
authors.lastname: Chockalingam
authors.forename: Simon W
authors.initials: SW
authors.lastname: Rabkin
authors.forename: Martin
authors.initials: M
authors.lastname: Dawes
authors.forename: Rhian M
authors.initials: RM
authors.lastname: Touyz
authors.forename: Kevin D
authors.initials: KD
authors.lastname: Burns
authors.forename: Marcel
authors.initials: M
authors.lastname: Ruzicka
authors.forename: Norman R C
authors.initials: NR
authors.lastname: Campbell
authors.forename: Michel
authors.initials: M
authors.lastname: Vallée
authors.forename: G V Ramesh
authors.initials: GV
authors.lastname: Prasad
authors.forename: Marcel
authors.initials: M
authors.lastname: Lebel
authors.forename: Sheldon W
authors.initials: SW
authors.lastname: Tobe
mesh_terms: D000328:Adult; D000368:Aged; D001795:Blood Pressure Determination / Q000592:standards; D018660:Blood Pressure Monitoring, Ambulatory / Q000592:standards*; D002170:Canada; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011787:Quality of Health Care; D018570:Risk Assessment