Guideline for the diagnosis and management
of hypertension in adults—2016
Genevieve M Gabb
1,2
, Arduino Mangoni
3
, Craig S Anderson
4,5
, Diane Cowley
6
, John S Dowden
7
, Jonathan Golledge
8
,
Graeme J Hankey
9
, Faline S Howes
10
, Les Leckie
11
, Vlado Perkovic
4
, Markus Schlaich
12
, Nicholas A Zwar
13
,
Tanya L Medley
14
, Leonard Arnolda
15
B
lood pressure (BP) is an important common modifiable risk
factor for cardiovascular disease. In 2014e15, 6 million
adult Australians were hypertensive (BP 140/90 mmHg)
or were taking BP-lowering medication.
1
Hypertension is
more common in those with lower household incomes and in
regional areas of Australia (http://heartfoundation.org.au/about-
us/what-we-do/heart-disease-in-australia/high-blood-pressure-
statistics). Many Australians have untreated hypertension,
including a significant proportion of Aboriginal and Torres Strait
Islander people.
1
Cardiovascular diseases are associated with a high level of health
care expenditure.
2
Controlled BP is associated with lower risks of
stroke, coronary heart disease, chronic kidney disease, heart failure
and death. Small reductions in BP (1e2 mmHg) are known to
markedly reduce population cardiovascular morbidity and
mortality.
3,4
Method
The National Blood Pressure and Vascular Disease Advisory
Committee, an expert committee of the National Heart Foundation
of Australia, has updated theGuide to management of hypertension
2008: assessing and managing raised blood pressure in adults(last
updated in 2010)
5
to equip health professionals across the
Australian health care system, especially those within primary care
and community services, with the latest evidence to prevent, detect
and manage hypertension.
International hypertension guidelines
6-8
were reviewed to identify
key areas for review. Review questions were developed using the
patient problem or population, intervention, comparison and
outcome(s) (PICO) framework.
9
Systematic literature searches
(2010e2014) of MEDLINE,
2016澳大利亚高血压指南.pdf