Are the guidelines of the ISH devoted to a population not contemplated in the ACC/AHA guidelines?
Abstract
High blood pressure (BP) is the leading cause of death globally [1]. Guidelines devoted to the management of hypertension are tools containing the most adequate advices based on existing evidences and the opinion of experts to be used by doctors involved in the management of arterial hypertension. Theoretically, a unique and complete Guideline, should be sufficient to obtain an adequate control of BP in patients living in the different continents of this planet. However, this has not been the case and different Guidelines like the one devoted to hypertensive patients in Europe ([2]-European Society of Cardiology (ESC)/European Society of Hypertension (ESH) Guidelines), or in United States ([3]-American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines) the two most widely followed in clinical practice, or Guidelines developed to be preferentially be used in a single country as those from Canada [4], United Kingdom [5], Japan [6] and China [7]. Many more Guidelines exist, many representing a single country, but in general are imitations from the European and American models [1,2]. Recently, the development of a worldwide practice Guideline concise, simplified and easy to use for adults aged 18 years and above, has been developed by the International Society of Hypertension (ISH) [8]. Using evidence extracted from recently published Guidelines the ISH Guideline Committee established a practical format easy to be used in low and medium as well as in high…
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