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Hypertension care cascade under dual guideline criteria was analyzed in 238,738 adults from Peru

Hypertension care cascade under dual guideline criteria was analyzed in 238,738 adults from Peru
Photo by Brett Jordan / Unsplash
Key Takeaway
Note that primary outcomes and safety data were not reported for this observational analysis.

This repeated cross-sectional analysis evaluated the hypertension care cascade using dual guideline criteria from 2023 ESH and 2025 ACC/AHA. The study population consisted of 238,738 adults aged 18 years or older from Peru. The analysis was conducted in the Peru setting and did not report a specific comparator group. No primary outcomes, secondary outcomes, or follow-up duration were reported in the source document. Safety data including adverse events, serious adverse events, discontinuations, and tolerability were not reported. Funding sources and conflicts of interest were not reported. The authors did not provide specific practice relevance or certainty notes regarding the findings. Limitations of the study were not explicitly detailed in the provided information. Because the study is observational and lacks reported outcomes, causal interpretations cannot be made. Clinicians should interpret these data with caution given the missing outcome measures and lack of reported safety signals.

Study Details

Study typeGuideline
EvidenceLevel 5
PublishedJun 2026
View Original Abstract ↓
BackgroundPrior assessments of the hypertension care cascade in Peru have covered short periods and used a single diagnostic threshold.ObjectiveTo describe 11-year trends (2014–2024) in the hypertension care cascade under two contemporary criteria (2023 ESH and 2025 ACC/AHA), quantify socioeconomic inequalities, and project the cascade to 2030 relative to WHO HEARTS targets.MethodsRepeated cross-sectional analysis of 238,738 adults (≥18 years) from the Peruvian Demographic and Family Health Survey (ENDES), 2014–2024. Hypertension was defined by ESH 2023 (≥140/90 mmHg or lifetime prior diagnosis) and ACC/AHA 2025 (≥130/80 mmHg or lifetime prior diagnosis). The cascade comprised awareness, pharmacological treatment, and control (
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