Hypertension (2012)

    Full Guidelines

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    College of Family Physicians of Canada

    This Clinical Practice Guideline has been endorsed by the College of Family Physicians of Canada.


    Hypertension Canada

    The Hypertension Poster for Clinicians has been endorsed by Hypertension Canada.

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    Summary of recommendations for clinicians and policy-makers

    Recommendations are provided for screening for hypertension in adults aged 18 years and older without previously diagnosed with hypertension. Recommendations apply to the general population including adults with average baseline blood pressure and those at higher than average risk of hypertension and vascular risk. These recommendations do not apply to individuals who have already received a confirmed diagnosis of hypertension.

    The CTFPHC will continue to carefully monitor the scientific developments in hypertension screening and report back to Canadians within 5 years with an update of the 2012 Hypertension Screening guidelines.



    • We recommend blood pressure measurement at all appropriate primary care visits 1 2.
      (Strong recommendation; moderate quality evidence)
    • We recommend that blood pressure be measured according to the current techniques described in the Canadian Hypertension Education Program CHEP recommendations for office and out-of-office (ambulatory) blood pressure measurement.
      (Strong recommendation; moderate quality evidence)
    • For people who are found to have an elevated blood pressure during screening, the CHEP criteria for assessment and diagnosis of hypertension should be applied to determine whether the patient meets diagnostic criteria for hypertension.
      (Strong recommendation; moderate quality evidence)