The Japanese Society of Hypertension (JSH) published the new JSH guidelines for the management of hypertension in 2014, which is the revision of the JSH guidelines of 2009. The primary objective of the guideline is to provide physicians the standard treatment strategy of hypertension to prevent the hypertension-related target organ damage and cardiovascular events. The management of hypertension should be performed in hypertensive patients with a blood pressure of ≥140/90 mm Hg. As Asians have a higher prevalence of stroke than of coronary artery disease and stroke is more steeply associated with the level of blood pressure, the target blood pressure should be lower than 130/80 mm Hg for high-risk patients such as those with diabetes or chronic kidney disease. Because of the increasing prevalence of obesity and the related metabolic syndrome, more salt intake and higher salt sensitivity in the population, lifestyle modifications are necessary in hypertensive patients and subjects with high normal blood pressure. This guideline provides evidence-based recommendations for the management of patients with hypertension with the characteristics of our society.
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机译:日本高血压学会(JSH)于2014年发布了新的JSH高血压管理指南,该指南是2009年JSH指南的修订版。该指南的主要目的是为医生提供预防高血压的标准治疗策略。与高血压有关的靶器官损害和心血管事件。血压≥140/ 90 mm Hg的高血压患者应进行高血压治疗。由于亚洲人的中风患病率高于冠状动脉疾病,并且中风与血压水平的相关性更高,因此对于高危患者(如糖尿病或糖尿病患者),目标血压应低于130/80 mm Hg慢性肾病。由于肥胖症的患病率增加和相关的代谢综合征,人群中更多的盐摄入和更高的盐敏感性,高血压患者和血压正常的受试者必须改变生活方式。该指南为具有社会特征的高血压患者的治疗提供了循证建议。
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