{"id":"https://openalex.org/W7204074780","doi":"https://doi.org/10.58931/cpct.2026.4155","title":"Primary Care Hypertension Guidelines: What\u2019s New for Primary Care","display_name":"Primary Care Hypertension Guidelines: What\u2019s New for Primary Care","publication_year":2026,"publication_date":"2026-07-28","ids":{"openalex":"https://openalex.org/W7204074780","doi":"https://doi.org/10.58931/cpct.2026.4155"},"language":"en","primary_location":{"id":"doi:10.58931/cpct.2026.4155","doi":"https://doi.org/10.58931/cpct.2026.4155","is_oa":true,"landing_page_url":"https://doi.org/10.58931/cpct.2026.4155","pdf_url":"https://canadianprimarycaretoday.com/article/download/4-1-Hundemer_et_al/pdf_en","source":{"id":"https://openalex.org/S4387290928","display_name":"Canadian Primary Care Today","issn_l":"2817-416X","issn":["2817-416X","2817-4178"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Primary Care Today","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://canadianprimarycaretoday.com/article/download/4-1-Hundemer_et_al/pdf_en","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063670543","display_name":"Gregory L. Hundemer","orcid":"https://orcid.org/0000-0003-3559-3531","observed_orcids":["https://orcid.org/0000-0003-3559-3531"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Gregory L. Hundemer","raw_affiliation_strings":["University of Ottawa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Ottawa","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093245333","display_name":"Kristin A Terenzi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kristin A. Terenzi","raw_affiliation_strings":["Langstaff Medical Centre"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Langstaff Medical Centre","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043443663","display_name":"R\u00e9mi Goupil","orcid":"https://orcid.org/0000-0002-0098-3735","observed_orcids":["https://orcid.org/0000-0002-0098-3735"]},"institutions":[{"id":"https://openalex.org/I4210141135","display_name":"H\u00f4pital du Sacr\u00e9-C\u0153ur de Montr\u00e9al","ror":"https://ror.org/03ey0g045","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210141135"]},{"id":"https://openalex.org/I70931966","display_name":"Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0161xgx34","country_code":"CA","type":"education","lineage":["https://openalex.org/I70931966"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"R\u00e9mi Goupil","raw_affiliation_strings":["Sacred Heart Hospital of Montreal","University of Montreal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sacred Heart Hospital of Montreal","institution_ids":["https://openalex.org/I4210141135"]},{"raw_affiliation_string":"University of Montreal","institution_ids":["https://openalex.org/I70931966"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.64158462,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"5","last_page":"12"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10144","display_name":"Blood Pressure and Hypertension Studies","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10144","display_name":"Blood Pressure and Hypertension Studies","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.00860000029206276,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12075","display_name":"Sodium Intake and Health","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.8009999990463257},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.44999998807907104},{"id":"https://openalex.org/keywords/blood-pressure-thresholds","display_name":"blood pressure thresholds","score":0.7379999756813049},{"id":"https://openalex.org/keywords/antihypertensive-pharmacotherapy","display_name":"antihypertensive pharmacotherapy","score":0.878000020980835},{"id":"https://openalex.org/keywords/combination-therapy","display_name":"combination therapy","score":0.527999997138977},{"id":"https://openalex.org/keywords/blood-pressure-targets","display_name":"blood pressure targets","score":0.6299999952316284},{"id":"https://openalex.org/keywords/out-of-office-blood-pressure-monitoring","display_name":"out-of-office blood pressure monitoring","score":0.871999979019165},{"id":"https://openalex.org/keywords/lifestyle-modification","display_name":"lifestyle modification","score":0.7960000038146973},{"id":"https://openalex.org/keywords/therapeutic-inertia","display_name":"therapeutic inertia","score":0.7200000286102295},{"id":"https://openalex.org/keywords/cardiovascular-risk","display_name":"cardiovascular risk","score":0.6499999761581421},{"id":"https://openalex.org/keywords/guideline-implementation","display_name":"guideline implementation","score":0.597000002861023}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8810999989509583},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.8687000274658203},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.7734000086784363},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.7235999703407288},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.6626999974250793},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4943000078201294},{"id":"https://openalex.org/C500440147","wikidata":"https://www.wikidata.org/wiki/Q701216","display_name":"Pharmacotherapy","level":2,"score":0.4706999957561493},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4361000061035156},{"id":"https://openalex.org/C3018559029","wikidata":"https://www.wikidata.org/wiki/Q1811041","display_name":"Lifestyle modification","level":3,"score":0.3815000057220459},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.37459999322891235},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3684999942779541},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3495999872684479},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.319599986076355},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.3151000142097473},{"id":"https://openalex.org/C3020357261","wikidata":"https://www.wikidata.org/wiki/Q25304032","display_name":"Hypertension treatment","level":3,"score":0.30880001187324524},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.3068999946117401},{"id":"https://openalex.org/C2781158071","wikidata":"https://www.wikidata.org/wiki/Q55379489","display_name":"Primary care physician","level":3,"score":0.3027999997138977},{"id":"https://openalex.org/C2777581072","wikidata":"https://www.wikidata.org/wiki/Q987319","display_name":"Secondary hypertension","level":3,"score":0.29910001158714294},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2989000082015991},{"id":"https://openalex.org/C2982889124","wikidata":"https://www.wikidata.org/wiki/Q107439039","display_name":"Disease management","level":4,"score":0.27959999442100525},{"id":"https://openalex.org/C2781318095","wikidata":"https://www.wikidata.org/wiki/Q33127638","display_name":"General practice","level":2,"score":0.2777000069618225},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.2506999969482422}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.58931/cpct.2026.4155","doi":"https://doi.org/10.58931/cpct.2026.4155","is_oa":true,"landing_page_url":"https://doi.org/10.58931/cpct.2026.4155","pdf_url":"https://canadianprimarycaretoday.com/article/download/4-1-Hundemer_et_al/pdf_en","source":{"id":"https://openalex.org/S4387290928","display_name":"Canadian Primary Care Today","issn_l":"2817-416X","issn":["2817-416X","2817-4178"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Primary Care Today","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.58931/cpct.2026.4155","doi":"https://doi.org/10.58931/cpct.2026.4155","is_oa":true,"landing_page_url":"https://doi.org/10.58931/cpct.2026.4155","pdf_url":"https://canadianprimarycaretoday.com/article/download/4-1-Hundemer_et_al/pdf_en","source":{"id":"https://openalex.org/S4387290928","display_name":"Canadian Primary Care Today","issn_l":"2817-416X","issn":["2817-416X","2817-4178"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Canadian Primary Care Today","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.6387820839881897,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320307105","display_name":"Amgen","ror":"https://ror.org/03g03ge92"},{"id":"https://openalex.org/F4320307758","display_name":"Eli Lilly and Company","ror":"https://ror.org/01qat3289"},{"id":"https://openalex.org/F4320307765","display_name":"Pfizer","ror":"https://ror.org/01xdqrp08"},{"id":"https://openalex.org/F4320307770","display_name":"AstraZeneca","ror":"https://ror.org/04r9x1a08"},{"id":"https://openalex.org/F4320307845","display_name":"Heart and Stroke Foundation of Canada","ror":"https://ror.org/00qbpyp73"},{"id":"https://openalex.org/F4320310630","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16"},{"id":"https://openalex.org/F4320319071","display_name":"Moderna","ror":"https://ror.org/01xm4wg91"},{"id":"https://openalex.org/F4320319947","display_name":"Kidney Foundation of Canada","ror":"https://ror.org/019a0gk53"},{"id":"https://openalex.org/F4320322436","display_name":"Novo Nordisk","ror":"https://ror.org/0435rc536"},{"id":"https://openalex.org/F4320327918","display_name":"H. Lundbeck A/S","ror":"https://ror.org/0564cd633"},{"id":"https://openalex.org/F4320327924","display_name":"Hypertension Canada","ror":"https://ror.org/000r5ge73"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332585","display_name":"Allergan","ror":"https://ror.org/00wthd003"},{"id":"https://openalex.org/F4320334506","display_name":"Canadian Institutes of Health Research","ror":"https://ror.org/01gavpb45"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204074780.pdf","grobid_xml":"https://content.openalex.org/works/W7204074780.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4411364123","https://openalex.org/W7114895251","https://openalex.org/W7124171948","https://openalex.org/W7124181948","https://openalex.org/W7160382687","https://openalex.org/W7171614811","https://openalex.org/W2922508578","https://openalex.org/W7222766006","https://openalex.org/W3037235174","https://openalex.org/W2592501403"],"abstract_inverted_index":{"Hypertension":[0,54,62,98],"remains":[1],"the":[2,90,96,197,231],"leading":[3],"modifiable":[4],"risk":[5],"factor":[6],"for":[7,103,143,164,170],"cardiovascular":[8,131,228],"disease":[9],"and":[10,21,42,73,78,85,130,133,160,188,206,226],"mortality,":[11],"yet":[12],"recent":[13],"data":[14],"demonstrate":[15],"declining":[16],"rates":[17],"of":[18,68,110,123,137,157,176],"hypertension":[19,27,221],"treatment":[20,207],"control":[22,187],"in":[23,30],"Canada.":[24],"Because":[25],"most":[26,91,144],"care":[28,48,83],"occurs":[29],"primary":[31,47,82,212],"care,":[32],"improving":[33],"population-level":[34],"outcomes":[35,229],"requires":[36],"guidance":[37],"that":[38],"is":[39,181],"pragmatic,":[40],"streamlined,":[41],"easily":[43],"implemented":[44],"into":[45],"routine":[46,155],"practice.":[49],"To":[50],"address":[51],"this":[52],"need,":[53],"Canada":[55,99],"has":[56],"released":[57],"a":[58,69,111,134],"new":[59],"Primary":[60,100],"Care":[61,101],"Guideline,":[63],"developed":[64],"as":[65],"part":[66],"one":[67],"two-part":[70],"guideline":[71,149,224],"strategy":[72],"informed":[74],"by":[75],"contemporary":[76],"evidence":[77],"extensive":[79],"input":[80],"from":[81,95],"providers":[84],"patients.":[86],"This":[87],"article":[88],"highlights":[89],"clinically":[92],"relevant":[93],"updates":[94,216],"2025":[97],"Guideline":[102],"front-line":[104],"clinicians.":[105],"Major":[106],"changes":[107],"include":[108],"adoption":[109],"lower":[112],"blood":[113,127,139,152,185],"pressure":[114,128,140,153,186],"threshold":[115],"(\u2265130/80":[116],"mmHg)":[117],"to":[118,183,210,219],"define":[119],"hypertension,":[120],"selective":[121],"initiation":[122,175],"pharmacotherapy":[124],"based":[125],"on":[126],"level":[129],"risk,":[132],"simplified":[135],"target":[136],"systolic":[138],"<130":[141],"mmHg":[142],"patients":[145,171],"when":[146],"tolerated.":[147],"The":[148],"emphasizes":[150],"accurate":[151],"measurement,":[154],"use":[156],"out-of-office":[158],"monitoring,":[159],"foundational":[161],"lifestyle":[162],"modification":[163],"all":[165],"individuals":[166],"with":[167],"hypertension.":[168],"Importantly,":[169],"requiring":[172],"medication,":[173],"early":[174],"low-dose":[177],"single-pill":[178],"combination":[179],"therapy":[180],"recommended":[182],"improve":[184,227],"reduce":[189],"therapeutic":[190],"inertia.":[191],"These":[192],"recommendations":[193],"are":[194,217],"embedded":[195],"within":[196],"World":[198],"Health":[199],"Organization\u2019s":[200],"HEARTS":[201],"framework,":[202],"providing":[203],"standardized":[204],"diagnostic":[205],"algorithms":[208],"tailored":[209],"Canadian":[211],"care.":[213],"Together,":[214],"these":[215],"intended":[218],"simplify":[220],"management,":[222],"enhance":[223],"uptake,":[225],"at":[230],"population":[232],"level.":[233]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-08-25T00:00:00"}