Canadian Pharmacists Journal - May/June 2019 - 182
PRaCtiCeReView
Table 1
(continued)
aCC/aHa 2017 Guideline for the
Prevention, Detection, evaluation
and Management of High blood
Pressure in adults13
1. Patients who
do not respond
to or do not
tolerate treatment
with several
medications
Working with this more demanding
subset requires provider expertise,
patience and a mechanism
to respond efficiently and
sensitively to concerns as they
arise. In this setting, TBC may be
effective, encouraging coupling
of nonpharmacological and
pharmacological treatments,
while improving access to and
communication with care providers.
2. Older adults
(≥65 years of age)
with hypertension
and a high burden
of comorbidity
and limited life
expectancy
Clinical judgment, patient preference
and a TBC approach to assess risk/
benefit is reasonable for decisions
regarding intensity of BP-lowering
and choice of antihypertensive
drugs.
3. Resourceconstrained
populations
It is crucial to invest in measures
to enhance health literacy and
reinforce the importance of
adhering to treatment strategies,
while paying attention to cultural
sensitivities. These measures
may include identification of
and partnering with community
resources and organizations
devoted to hypertension control
and cardiovascular health. Although
comparative-effectiveness
data documenting efficacy of
various interventions are limited,
multidisciplinary team-based
approaches and the use of
community health workers have
shown some utility, as has the use
of out-of-office BP monitoring
(or no-cost BP control visits),
particularly among resourceconstrained populations.
eSC/eSH 2018 guidelines
for the management of
arterial hypertension15
Hypertension Canada's
2017 Guidelines
for Diagnosis, Risk
assessment, Prevention
and Treatment of
Hypertension in adults14
ACC/AHA, American College of Cardiology Foundation and American Heart Association; BP, blood pressure; ESH/ESC, task force for the
management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension; HBPM, home blood
pressure monitoring; TBC, team-based care.
182
C P J / R P C * M ay / J u n e 2 0 1 9 * V O L 1 5 2 , N O 3
Canadian Pharmacists Journal - May/June 2019
Table of Contents for the Digital Edition of Canadian Pharmacists Journal - May/June 2019
Regulation and innovation in practice – Not a “drug interaction”?
Dietary sodium and the health of Canadians
Professional abstinence: What does it mean for pharmacists?
Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
Medical abortion: A practice tool for pharmacists
Community-based management of epistaxis: Who bloody knows?
The pharmacist’s role in successful deprescribing through hospital medication reconciliation
Pharmacists to improve hypertension management: Guideline concordance from North America to Europe
The patient experience in a community pharmacy mental illness and addictions program
Community pharmacists’ experiences with the Saskatchewan Medication Assessment Program
Cross-Canada updates
The conference experience—Making it yours
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