New clinical guidelines on hypertension from the USA include a new definition for hypertension, as well as lower treatment targets and extended guidance on the implementation of multidisciplinary care, including self-monitoring of blood pressure.
This new classification is controversial and places the USA at odds with other countries, point out Professor Richard McManus from Oxford University's Nuffield Department of Primary Care Health Sciences and Professor Jonathan Mant from the Primary Care Unit at the University of Cambridge in a commentary published in Nature Reviews Cardiology.
Individuals will be labelled with a ‘condition’ they did not previously have. Such labelling is not without its own problems. Whilst the new inclusion of cardiovascular risk in treatment decisions is to be welcomed, consideration must be given to the level of risk that members of the public are willing to accept before initiating treatment, which might be substantially higher than that of the medical profession.
Read the full commentary in Nature Reviews Cardiology, published online 11 January 2018
With thanks to the University of Cambridge for contributing this article.