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Screening for Hypertension in Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement | Cardiology | JAMA

1. Ostchega  Y, Fryar  C, Nwankwo  T, Nguyen  DT. Hypertension Prevalence Among Adults Aged 18 and Over: United States, 2017–2018. Published 2020. Accessed March 10, 2021. https://www.cdc.gov/nchs/products/databriefs/db364.htm 2. Siu  AL; US Preventive Services Task Force.  Screening for high blood pressure in adults: U.S. Preventive Services Task Force recommendation statement.  3. Procedure Manual. US Preventive Services Task Force. Published 2018. Accessed March 10, 2021. https://uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual 4. Lewington  S, Clarke  R, Qizilbash  N, Peto  R, Collins  R; Prospective Studies Collaboration.  Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. 

USPSTF Prioritizes Office Measurements in Hypertension Screening

email article Adults should continue undergoing routine hypertension screening, according to the U.S. Preventive Services Task Force (USPSTF), which specified office blood pressure (BP) measurements for initial screening. It is reasonable for adults 40 years and older and those at increased risk for hypertension to undergo screening every year. Young people not at risk, or those with a prior normal BP reading, may get screened every few years instead, said Alex Krist, MD, MPH, of Virginia Commonwealth University in Richmond, and colleagues of the task force. Thus, the USPSTF reaffirms its 2015 grade A recommendation for hypertension screening citing its potential to reduce cardiovascular events, with few major harms while clarifying that this should be performed with office readings, leaving measurements outside the clinical setting (i.e., ambulatory BP monitoring [ABPM] or home BP measurement [HBPM]) for diagnostic confirmation before starting treatment.

STROKESTOP: Small Clinical Benefit Seen With Systematic AF Screening

April 26, 2021 A population-based screening program for atrial fibrillation (AF) improved clinical outcomes in 75- and 76-year-olds living in two regions of Sweden, the randomized STROKESTOP shows. Over more than 5 years of follow-up, risk of the combined primary endpoint of ischemic stroke, systemic thromboembolism, all-cause mortality, hemorrhagic stroke, or hospitalization for bleeding was significantly lower in the group invited for screening (HR 0.96; P = 0.045), according to Emma Svennberg, MD, PhD (Karolinska Institutet, Stockholm, Sweden). The number of people who would have to be invited for screening in order to prevent one event is 91, she reported last week during the virtual European Heart Rhythm Association Congress 2021.

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