Hypertension Canada's 2020 Comprehensive Guidelines …

1 GuidelinesHypertension canada s 2020 Comprehensive Guidelines forthe Prevention, Diagnosis, Risk Assessment, and Treatmentof Hypertension in Adults and ChildrenDoreen M. Rabi, MD, MSc,aKerry A. McBrien, MD, MPH,bRuth Sapir-Pichhadze, MD, MSc, PhD,cMeranda Nakhla, MD, MSc,dSofia B. Ahmed, MD, MMSc,eSandra M. Dumanski, MD,eSonia Butalia, BSc, MD, MSc,fAlexander A. Leung, MD, MPH,aKevin C. Harris, MD, MHSc,gLyne Cloutier, RN, PhD,hKelly B. Zarnke, MD, MSc,iMarcel Ruzicka, MD, PhD,jSwapnil Hiremath, MD, MPH,kRoss D. Feldman, MD, ,MD,MScCH,mTavis S. Campbell, PhD, RPsych,nSimon L. Bacon, PhD,oKara A. Nerenberg, MD, MSc,pGeorge K. Dresser, MD, PhD,qAnne Fournier, MD,rEllen Burgess, MD,sPatrice Lindsay, RN, PhD,tSimon W. Rabkin, MD,uAlly Prebtani, MD,vSteven Grover, MD, MPA,wGeorge Honos, MD,xJeffrey E.

2 Alfonsi, MD,qJoAnne Arcand, PhD, RD,yFran ois Audibert, MD, MSc,zGenevi ve Benoit, MD,aaJesse Bittman, MD,bbPeter Bolli, MD,ccAnne-Marie C t e, MD, MHSc,ddJanis Dionne, MD,eeAndrew Don-Wauchope, MD,ffCedric Edwards, MD,jTabassum Firoz, MD, MSc,ggJonathan Y. Gabor, MSc, MD,hhRichard E. Gilbert, MBBS, PhD,iiJean C. Gr egoire, MD,jjSteven E. Gryn, MD,qMilan Gupta, MD,kkFady Hannah-Shmouni, MD,llRobert A. Hegele, MD,qRobert J. Herman, MD,mmMichael D. Hill, MD, MSc,nnJonathan G. Howlett, MD,ooGregory L. Hundemer, MD, MPH,jCharlotte Jones, PhD, MD,ppJanusz Kaczorowski, PhD,qqNadia A. Khan, MD, MSc,bbLaura M. Kuyper, MD,bbMaxime Lamarre-Cliche, MD,rrKim L. Lavoie, PhD,ssLawrence A. Leiter, MD,ttRichard Lewanczuk, MD, PhD,uuAlexander G. Logan, MD,vvLaura A. Magee, MD, MSc,wwBirinder K. Mangat, MD, MPH,bbPhilip A.

3 McFarlane, MD, PhD,xxDonna McLean, RN, NP, PhD,yyAndre Michaud, RN, PhD,zzAlain Milot, MD, MSc,aaaCanadian Journal of Cardiology 36 (2020) 596e624 Received for publication February 11, 2020. Accepted February 23, author: Dr Doreen M. Rabi, Division of Endocrinologyand Metabolism, Department of medicine , 3330 Hospital Drive NW,University of Calgary, Calgary, Alberta T2N 4N1, canada . Tel.: 1-403-220-3319; fax: page 621 for disclosure 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights W. Moe, MD, MSc,bbbS. Brian Penner, MD,cccAndrew Pipe, MD,dddAlexandre Y. Poppe, MD,eeeEvelyne Rey, MD, MSc,fffMichael Roerecke, PhD,gggErnesto L. Schiffrin, MD, PhD,hhhPeter Selby, MBBS, MHSc,iiiMike Sharma, MD, MSc,jjjAshkan Shoamanesh, MD,kkkPraveena Sivapalan, MD,lllRaymond R.

4 Townsend, MD,mmmKaren Tran, MD, MHSc,bbLuc Trudeau, MD,nnnRoss T. Tsuyuki, BSc (Pharm), PharmD, MSc,oooMichel Vall ee, MD, PhD,pppVincent Woo, MD,qqqAlan D. Bell, MD,rrrandStella S. Daskalopoulou, MD, MSc, DIC, PhDsssaDivision of Endocrinology and Metabolism, Department of medicine , University of Calgary, Calgary, Alberta, canada ;bDepartmentsofFamilyMedicineand Community Health Services, Cumming school of medicine ,UniversityofCalgary,Calgary,Alb erta, canada ;cDivision of Nephrology, Department ofMedicine, McGill University and Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal,Quebec, canada ;dDepartment of Pediatrics and Centre for OutcomesResearch and Evaluation, McGill University, and Research Institute of the McGill UniversityHealth Centre, Montreal, Quebec, canada .

5 EDepartment of medicine , University of Calgary, Libin Cardiovascular Institute of Alberta, and Alberta KidneyDisease Network, Calgary, Alberta, canada ;fDepartments of medicine and Community Health Sciences, O Brien Institute for Public Health, and LibinCardiovascular Institute, Cumming school of medicine , Calgary, Alberta, canada ;gChildren s Heart Centre, BC Children s Hospital, and Department ofPediatrics, University of British Columbia,Vancouver,BritishColumbia,Canad a;hDepartment of Nursing, Universit eduQu ebec Trois-Rivi res, Trois-Rivi res, Quebec, canada ;iO Brien Institute for Public Health, Cumming school of medicine , University of Calgary, Calgary, Alberta, canada ;jDivision ofNephrology, Department of medicine , University of Ottawa, Ottawa, Ontario, canada ;kUniversity of Ottawa and the Ottawa Hospital Research Institute,Ottawa, Ontario, canada ;lWinnipeg Regional Health Authority and the University of Manitoba, Winnipeg, Manitoba, canada ;mDepartment of medicine ,University of Toronto, and Northern Ontario SchoolofMedicine,Sudbury,Ontario, canada ; nDepartment of Psychology, University of Calgary, Calgary,Alberta, canada ;oDepartment of Health, Kinesiology, and Applied Physiology, Concordia University,and Montreal BehaviouralMedicine Centre, CIUSSS-NIM, Montr eal, Quebec, canada ;pDivision of General Internal medicine , Departments of medicine , Obstetrics and Gynecology, and Community HealthSciences, University of Calgary, Calgary, Alberta, canada ;qSchulich school of medicine and Dentistry, Western University, London, Ontario, canada .

6 RCentreHospitalier Universitaire Sainte-Justine, Department of Pediatrics, Universit edeMontr eal, Montr eal, Quebec, canada ;sDepartment of medicine , CummingSchool of medicine , University of Calgary, Calgary, Alberta, canada ;tHeart and Stroke Foundation of canada , Ottawa, Ontario, canada ;uVancouverHospital, University of British Columbia, Vancouver, British Columbia, canada ;vDivision of Endocrinology and Metabolism, Department of medicine ,McMaster University, Hamilton, Ontario, canada ;wDepartment of medicine , McGill University, Montreal, Quebec, canada ;xCentre Hospitalier del Universit edeMontr eal, Montreal, Quebec, canada ;yFaculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Ontario, canada ;zDepartment of Obstetricsand Gynecology, CHU Sainte-Justine, Universit edeMontr eal, Quebec, canada ;aaServiceden ephrologie, Centre HospitalierUniversitaire Sainte-Justine, Universit edeMontr eal, Montr eal, Quebec, canada ;bbDivision of General Internal medicine , Department of medicine ,University of British Columbia, Vancouver, British Columbia, canada ;ccMcMaster University, Hamilton, Ontario, canada ;ddUniversit e de Sherbrooke,Sherbrooke, Quebec, canada ;eeDepartment of Pediatrics, Division of Nephrology, University of British Columbia, BC Children s Hospital, Vancouver, BritishColumbia, canada ;ffDepartment of Pathology and Molecular medicine , McMaster University, Hamilton, and LifeLabs LP, Toronto, Ontario, canada .

7 GgDepartment of medicine , The Warren Alpert Medical Schoolof Brown University, Providence, Rhode Island, USA;hhDepartment of Cardiology, SelkirkRegional Health Centre, Selkirk, Manitoba, canada ;iiUniversity of Toronto, Division of Endocrinology, St Michael s Hospital, Toronto, Ontario, canada ;jjUniversit edeMontr eal, Institut de cardiologie de Montr eal, Montr eal, Quebec, canada ;kkDepartment of medicine , McMaster University, Hamilton, andCanadian Collaborative Research Network, Brampton, Ontario, canada ;llSection on Endocrinology and Genetics, National Institute of Child Health andHuman Development, National Institutes of Health, Bethesda, Maryland, USA;mmDivision of General medicine , Department of medicine , Cumming school ofMedicine, University of Calgary, Calgary, Alberta, canada ;nnDepartment of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming school of medicine ,University of Calgary, Calgary, Alberta, canada ;ooDepartments of medicine , Libin Cardiovascular Institute and Cumming school of medicine , University ofCalgary, Calgary, Alberta, canada ;ppDepartment of medicine , Southern Medical Program, University of British Columbia, Kelowna, British Columbia, canada ;qqDepartment of Family and Emergency medicine , Universit edeMontr eal and CRCHUM, Montr eal, Quebec, canada ;rrInstitut de RecherchesCliniques de Montr eal (IRCM), Universit edeMontr eal, Montr eal, Quebec, canada ;ssUniversity of Quebec at Montreal (UQAM), Montreal BehaviouralMedicine Centre, CIUSSS-NIM, H pital du Sacr e-Coeur de Montr eal, Montr eal, Quebec, canada .

8 TtLi Ka Shing Knowledge Institute, St. Michael sHospital,University of Toronto, Toronto, Ontario, canada ;uuDepartment of medicine , Faculty of medicine and Dentistry, University of Alberta, Edmonton, Alberta, canada ;vvMount Sinai Hospital, University Health Network, Toronto, Ontario, canada ;wwDepartment of Women and Children s Health, St Thomas Hospital, London, and Department of Life Course Sciences, Faculty of Life Sciences and medicine , King s College London, London, United Kingdom;xxDivisionof Nephrology, St Michael s Hospital, University of Toronto, Toronto, Ontario, canada ;yyAlberta Health Services and Covenant Health, Edmonton, Alberta, canada ;zz cole des sciences infirmi res, FMSS, Universit e de Sherbrooke, Sherbrooke, Quebec, canada ;aaaDepartment of medicine , Universit eLaval,Qu ebec,Quebec, canada .

9 BbbSt Michael s Hospital, University of Toronto, Toronto, Ontario, canada ;cccUniversity of Manitoba, Winnipeg, Manitoba, canada ;dddDivision of Prevention and Rehabilitation, University of Ottawa Heart Institute, Faculty of medicine , University of Ottawa, Ottawa, Ontario, canada ;eeeDepartment of Neurosciences, Universityof Montreal, Montreal, Quebec, canada ;fffDepartments of medicine and Obstetrics and Gynecology, CHU Sainte-Justine, University of Montreal, Montreal, Quebec, canada ;gggInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, DallaLana school of Public Health, University of Toronto, Toronto, Ontario, canada ;hhhDepartment of medicine , Jewish General Hospital, McGill University,Montreal, Quebec, canada ;iiiCentre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, canada ;jjjMcMaster University, HamiltonHealth Sciences, Population Health Research Institute, Hamilton, Ontario, canada ;kkkDepartment of medicine , McMaster University, Population HealthResearch Institute, Hamilton, Ontario, canada ;lllDivision of General Internal medicine , University of Saskatchewan, Saskatoon, Saskatchewan, canada ;mmmPerelman school of medicine , University of Pennsylvania, Philadelphia, Pennsylvania, USA;nnnDivision of Internal medicine , Department of medicine ,McGill University, Montr eal, Quebec, canada ;oooDepartment of Pharmacology, Faculty of medicine and Dentistry, University of Alberta, Edmonton, Alberta, canada .

10 PppH pital Maisonneuve-Rosemont, Universit edeMontr eal, Montr eal, Quebec, canada ;qqqDivision of Endocrinology and Metabolism, University ofManitoba, Winnipeg, Manitoba, canada ;rrrDepartment of Family and Community medicine , University of Toronto, Toronto, Ontario, canada ;sssDivision ofInternal medicine , Department of medicine , McGill University, and Research Institute of the McGill UniversityHealth Centre, Montreal, Quebec, CanadaRabi et Hypertension canada GuidelinesABSTRACTH ypertension canada s 2020 Guidelines for the prevention, diagnosis,risk assessment, and treatment of Hypertension in adults and childrenprovide Comprehensive , evidence-based guidance for health care pro-fessionals and patients. Hypertension canada develops the guidelinesusing rigourous methodology, carefully mitigating the risk of bias in ourprocess.