Updated Guidelines for Management of High Blood Pressure in Japan-The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2014)

摘要

In an article published in Hypertension Research, the writing committee of the Japanese Society of Hypertension (JSH) updated the Society's 2009 Guideline for Hypertension Management using principles of evidence-based medicine based in part on the 2011 Report of the Institute of Medicine (USA) Clinical Practice Guidelines We Can Trust.As described in the JSH 2014 Report, the primary objective of the JSH 2014 is to standardize antihypertensive treatment in order to optimize prevention of diseases of the brain/heart/kidney in the Japanese population. The Report acknowledges the importance of primary care clinicians, as well as teams that include nurses, dieticians and pharmacists, in caring for hypertensive patients in Japan, and directs its recommendations toward all of these groups. Accordingly, members of organizations representing primary care providers, clinical pharmacologists, pharmacists, clinical nutritionists and patients were included in the guideline development and review process. JSH 2014 clearly states that its recommendations are not proscriptive and that therapeutic strategies should be tailored to the specific needs and comorbidities of each patient.