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Incorporation of Biomarkers Into Risk Assessment for Allocation of Antihypertensive Medication According to the 2017 ACC/AHA High Blood Pressure Guideline
Author(s) -
Ambarish Pandey,
Kershaw V. Patel,
Wanpen Vongpatanasin,
Colby Ayers,
Jarett D. Berry,
Robert J. Mentz,
Michael J. Blaha,
John W. McEvoy,
Paul Muntner,
Muthiah Vaduganathan,
Adolfo Correa,
Javed Butler,
Daichi Shimbo,
Vijay Nambi,
Christopher R. deFilippi,
Stephen L. Seliger,
Christie M. Ballantyne,
Elizabeth Selvin,
James A. de Lemos,
Parag H. Joshi
Publication year - 2019
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.119.043337
Subject(s) - medicine , blood pressure , guideline , cardiology , heart failure , biomarker , natriuretic peptide , cohort , troponin , myocardial infarction , pathology , biochemistry , chemistry
Risk for atherosclerotic cardiovascular disease was a novel consideration for antihypertensive medication initiation in the 2017 American College of Cardiology/American Heart Association Blood Pressure (BP) guideline. Whether biomarkers of chronic myocardial injury (high-sensitivity cardiac troponin T ≥6 ng/L] and stress (N-terminal pro-B-type natriuretic peptide [NT-proBNP] ≥100 pg/mL) can inform cardiovascular (CV) risk stratification and treatment decisions among adults with elevated BP and hypertension is unclear.

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