Temporal Patterns in Blood Pressure Management Before and After Recent Clinical Trials and Guideline Recommendations

IF 2.5 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE Journal of Clinical Hypertension Pub Date : 2025-03-18 DOI:10.1111/jch.70030
Eric J. Brandt, Craig J. Beavers, Zhuxuan Fu, Erica S. Spatz, Philip G. Jones, Suzanne V. Arnold, Nihar R. Desai
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Abstract

We aimed to study trends in achieving blood pressure (BP) goals, antihypertensive prescribing, and whether clinician behavior changed in temporal relationship to the JNC-8 (October 1, 2014), SPRINT results (November 9, 2015), and the 2017 hypertension guideline (November 13, 2017). We used the National Cardiovascular Data Registry (NCDR) Practice INNovation and CLinical Excellence (PINNACLE) registry and studied patients with hypertension aged >65 years (n = 3 678 774). We found a statistically significant, albeit small and minimally relevant, increase from 2013 to 2018 in achieving office-based SBP.

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近期临床试验前后血压管理的时间模式和指南建议
我们旨在研究实现血压(BP)目标、降压处方的趋势,以及临床医生行为是否与JNC-8(2014年10月1日)、SPRINT结果(2015年11月9日)和2017年高血压指南(2017年11月13日)在时间上发生变化。我们使用国家心血管数据登记处(NCDR)实践创新和临床卓越登记处(PINNACLE)研究65岁高血压患者(n = 3 678 774)。我们发现,从2013年到2018年,实现基于办公室的SBP的增长具有统计学意义,尽管很小且相关性最低。
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来源期刊
Journal of Clinical Hypertension
Journal of Clinical Hypertension PERIPHERAL VASCULAR DISEASE-
CiteScore
5.80
自引率
7.10%
发文量
191
审稿时长
4-8 weeks
期刊介绍: The Journal of Clinical Hypertension is a peer-reviewed, monthly publication that serves internists, cardiologists, nephrologists, endocrinologists, hypertension specialists, primary care practitioners, pharmacists and all professionals interested in hypertension by providing objective, up-to-date information and practical recommendations on the full range of clinical aspects of hypertension. Commentaries and columns by experts in the field provide further insights into our original research articles as well as on major articles published elsewhere. Major guidelines for the management of hypertension are also an important feature of the Journal. Through its partnership with the World Hypertension League, JCH will include a new focus on hypertension and public health, including major policy issues, that features research and reviews related to disease characteristics and management at the population level.
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