Diretrizes Brasileiras de Hipertensão Arterial – 2020

Barroso, Weimar Kunz Sebba; Rodrigues, Cibele Isaac Saad; Bortolotto, Luiz Aparecido; Gomes, Marco Antônio Mota; Brandão, Andréa Araújo; Feitosa, Audes Diógenes de Magalhães; Machado, Carlos A.; Poli-de-Figueiredo, Carlos Eduardo; Amodeo, Celso; Júnior, Décio Mion; Barbosa, Eduardo; Nobre, Fernando; Guimarães, Isabel Cristina Britto; Vilela-Martin, José Fernando; Yugar‐Toledo, Juan Carlos; Magalhães, Maria Eliane Campos; Neves, Mário Fritsch; Jardim, Paulo César Brandão Veiga; Miranda, Roberto Dischinger; Póvoa, Rui Manuel dos Santos; Fuchs, Sandra Cristina Pereira Costa; Alessi, Alexandre; Lucena, Alexandre Jorge Gomes de; Avezum, Álvaro; Sousa, Ana Luíza Lima; Pio-Abreu, Andrea; Spósito, Andrei C.; Pierin, Ângela Maria Geraldo; Paiva, Annelise Machado Gomes de; Spinelli, Antonella; Nogueira, Armando da Rocha; Dinamarco, Nelson; Eibel, Bruna; Forjaz, C. L. M.; Zanini, Claudia Regina de Oliveira; Souza, Cristiane Bueno de; Souza, Dilma do Socorro Moraes de; Nilson, Eduardo Augusto Fernandes; Costa, Elisa Franco de Assis; Freitas, Elizabete Viana de; Duarte, Elizabeth da Rosa; Muxfeldt, Elizabeth Silaid; Júnior, E Lima; Campana, Érika Maria Gonçalves; Cesarino, Evandro José; Marques, Fabiana; Argenta, Fábio; Consolim‐Colombo, Fernanda Marciano; Baptista, Fernanda Spadotto; Almeida, Fernando Antônio de; Borelli, Flávio; Fuchs, Flávio Danni; Plavnik, Frida Liane; Salles, Gil F.; Feitosa, Gílson Soares; Silva, Giovânio Vieira da; Guerra, Grazia Maria; Júnior, Heitor Moreno; Finimundi, Helius Carlos; Back, Isabela de Carlos; Filho, João Bosco de Oliveira; Gemelli, João Roberto; Mill, José Geraldo; Ribeiro, José Márcio; Lotaif, Leda; Costa, Lílian Soares da; Magalhães, Lucélia Batista Neves Cunha; Drager, Luciano F.; Martin, Luís Cuadrado; Scala, Luiz César Nazário; Almeida, Madson Q.; Gowdak, Marcia Maria Godoy; Klein, Márcia Regina Simas Torres; Malachias, Marcus Vinícius Bolivar; Kuschnir, Maria Cristina Caetano; Pinheiro, Maria Eliete; Borba, Mário Henrique Elesbão de; Filho, Osni Moreira; Júnior, O Passarelli; Coelho, Otávio Rizzi; Vitorino, Priscila Valverde de Oliveira; Ribeiro, Renault Mattos; Esporcatte, Roberto; Franco, R.; Pedrosa, Rodrigo Pinto; Mulinari, Rogério Andrade; Paula, Rogério Baumgratz de; Okawa, Rogério Toshiro Passos; Rosa, Ronaldo Fernandes; Amaral, Sandra Lia do; Ferreira-Filho, Sebastião Rodrigues; Kaiser, Sérgio; Jardim, Thiago de Souza Veiga; Guimarães, Vanildo; Koch, Vera H.; Oigman, Wille; Nadruz, Wilson

doi:10.36660/abc.20201238

Cited by 493 publications

(441 citation statements)

References 1,037 publications

(2,834 reference statements)

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“…Office blood pressure will be measured after 10–20 minutes of rest, with the participant sitting quietly in a chair, according to standardized guidelines [ 29 ]. Three measurements, 1–2 minutes apart, will be performed in the arm with the highest initial value.…”

Section: Methodsmentioning

confidence: 99%

Effects of combined training performed two or four times per week on 24-h blood pressure, glycosylated hemoglobin and other health-related outcomes in aging individuals with hypertension: Rationale and study protocol of a randomized clinical trial

et al. 2021

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Background Acute blood pressure lowering after exercise seems to predict the extent of blood pressure reduction after chronic exercise training interventions. Based on that, the same weekly amount of exercise performed more frequently could be more beneficial for controlling blood pressure. Purpose To compare the effects of a combined training program (resistance plus aerobic exercise) performed four or two times per week on 24-h ambulatory blood pressure and other health-related outcomes in middle-aged and older individuals with hypertension. Methods This study will be a randomized, parallel group, two-arm, superiority trial. Ninety-eight participants aged 50–80 years with a previous physician diagnosis of hypertension will be randomized to perform two or four sessions per week of combined training using the same total weekly overload. Primary outcomes will be 24-h ambulatory blood pressure and glycosylated hemoglobin; secondary outcomes will be endothelial function, physical fitness and quality of life. The outcomes will be assessed at baseline and at the end of 12 weeks period. Results Our conceptual hypothesis is that a combined exercise program performed four or two times per week with equalized weekly volume/overload will improve all outcomes in comparison to the baseline values, and that reductions in 24-h blood pressure and glycosylated hemoglobin will be more pronounced in the group that trained four times a week than twice. The results of this trial are expected to provide evidences to support that higher weekly frequency of combined training should be emphasized in aging adults with hypertension.

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Section: Methodsmentioning

confidence: 99%

Effects of combined training performed two or four times per week on 24-h blood pressure, glycosylated hemoglobin and other health-related outcomes in aging individuals with hypertension: Rationale and study protocol of a randomized clinical trial

et al. 2021

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“…Hypertension (HTN) is a multifactorial chronic disease and the main risk factor for the development of cardiovascular diseases and chronic kidney disease. 1 It affects 32% of adults and more than 60% of the elderly, being responsible for half of the deaths from cardiovascular disease (CVD) in Brazil. 2 In addition, its complications can lead to decreased work productivity and family income.…”

Section: Introductionmentioning

confidence: 99%

“…2 In addition, its complications can lead to decreased work productivity and family income. 1,2 In Canada, HTN affects 23% of the adult population, in the United States of America (USA) 12% of adults have blood pressure (BP) values greater than 160/100 mmHg. On the European continent, the disease affects 30 to 45% of the general population.…”

Section: Introductionmentioning

confidence: 99%

“…On the European continent, the disease affects 30 to 45% of the general population. 1,3,4 Considering the high prevalence rates of the disease, the treatment of HTN is necessary, not only to reduce BP levels, but also to prevent the development of CVD, cerebrovascular diseases and kidney diseases. This treatment can be medication, which will be determined according to the BP values, obtained either in medical consultations or at home, cardiovascular risk factors and the presence of target organ damage identified during anamnesis.…”

Section: Introductionmentioning

confidence: 99%

“…Non-pharmacological treatment has also been shown to be effective in reducing BP levels in patients with HTN. [1][2][3][4] Among them, stands out the body weight control, the establishment of healthy eating habits reducing salt consumption more specifically, the alcohol consumption control, the smoking cessation, the stress control, aerobic and isometric physical exercises and slow breathing, guided or not by devices. [1][2][3][4] The physiotherapy prescription for the treatment of HTN may include both exercise and device-guided slow breathing (DGSB) or non-device-guided slow breathing (NDGSB), these breathing exercises consist in slow and deep breathing 6 to 10 breathing per minute and can be done with or without device that guides them.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Device and non-device-guided slow breathing to reduce blood pressure in hypertensive patients: a systematic review protocol

Gonçalves¹,

Daniel²,

Lamas³

et al. 2021

Preprint

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IntroductionPhysiotherapy can include both device-guided slow breathing and device-guided slow breathing in the treatment of systemic arterial hypertension. MethodsA systematic search of all published randomized controlled trials on the effects of device-guided and non-device-guided slow breathing on hypertensive patients, without language restriction, will be carried out until January 2020 in nine databases: Pubmed / MEDLINE (Medical Literature Analysis and Retrieval System Online), Latin American and Caribbean Health Sciences Literature (LILACS), EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Physiotherapy Evidence Database (PEDro), Cumulative Index to Nursing and Allied Health Literature ( CINAHL), Scopus, Web of Science, Livivo, as well as a search of clinical trial records databases, CT.GOV (Clinical trials.Gov), and bases for the Open Grey gray literature, Gray Literature Report, ProQuest Central (Citation, Abstract or Indexing and Dissertations and Theses). In all of these databases, potentially eligible studies including completed and ongoing ECAs were researched. The quality assessment of the included studies will be conducted using the Cochrane Risk of Bias Tool for Randomized Trials. The overall quality of the evidence for each outcome will be assessed using the Grading of Recommendations, Development and Evaluation (GRADE) system. DiscussionThis systematic review will provide a summary of the current evidence on the effects of both device-guided slow breathing and device-guided slow breathing on blood pressure levels. This information can contribute to decision making by health professionals related to the use of these interventions in hypertensive patients. Following the guidelines, this systematic review protocol was registered with the Prospective International Register of Systematic Reviews (PROSPERO) number CRD42020147554.

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Device and nondevice‐guided slow breathing to reduce blood pressure in hypertensive patients: A systematic review and meta‐analysis

Gonçalves

Daniel

Lamas

et al. 2022

Health Science Reports

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Backgroud and Aims: Hypertension (HTN) is a multifactorial chronic disease.Considering the high prevalence rates of this disease, treatment of HTN is necessary, not only to reduce blood pressure (BP) levels but also to prevent the development of cardiovascular, cerebrovascular, and kidney diseases. This treatment can be through medication, which will be determined according to the BP values, obtained either in medical consultations or at home; presence of cardiovascular risk factors, and the presence of target organ damage identified during anamnesis. The aim of this systematic review and meta-analysis is to summarize the effects of device-guided slow breathing (DGSB) and nondevice-guided slow breathing (NDGSB) on BP levels of patients with HTN.Methods: This study is a systematic review and meta-analysis of randomized clinical trials, pertaining to hypertensive patients, with or without comorbidity, over 18 years old, of both sexes, and with or without hypertensive medication. The selected studies showed comparisons between groups that performed DGSB and/or NDGSB with control conditions. The primary outcome was the value of systolic blood pressure (SBP) and diastolic blood pressure (DBP) after the interventions.Results: Twenty-two studies involving 17,214 participants were included in the quantitative analysis. Considerable heterogeneity was revealed between studies.

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Diretrizes Brasileiras de Hipertensão Arterial – 2020

Abstract: Nota: Estas diretrizes se prestam a informar e não a substituir o julgamento clínico do médico que, em última análise, deve determinar o tratamento apropriado para seus pacientes.

Cited by 493 publications

References 1,037 publications

Effects of combined training performed two or four times per week on 24-h blood pressure, glycosylated hemoglobin and other health-related outcomes in aging individuals with hypertension: Rationale and study protocol of a randomized clinical trial

Effects of combined training performed two or four times per week on 24-h blood pressure, glycosylated hemoglobin and other health-related outcomes in aging individuals with hypertension: Rationale and study protocol of a randomized clinical trial

Device and non-device-guided slow breathing to reduce blood pressure in hypertensive patients: a systematic review protocol

Device and nondevice‐guided slow breathing to reduce blood pressure in hypertensive patients: A systematic review and meta‐analysis

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