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Highlights of the 2019 Japanese Society of Hypertension Guidelines and perspectives on the management of Asian hypertensive patients

Authors
 Satoshi Hoshide  ;  Kazuomi Kario  ;  Naoko Tomitani  ;  Tomoyuki Kabutoya  ;  Yook-Chin Chia  ;  Sungha Park  ;  Jinho Shin  ;  Yuda Turana  ;  Jam Chin Tay  ;  Peera Buranakitjaroen  ;  Chen-Huan Chen  ;  Jennifer Nailes  ;  Huynh Van Minh  ;  Saulat Siddique  ;  Jorge Sison  ;  Arieska Ann Soenarta  ;  Guru Prasad Sogunuru  ;  Apichard Sukonthasarn  ;  Boon Wee Teo  ;  Narsingh Verma  ;  Yuqing Zhang  ;  Tzung-Dau Wang  ;  Ji-Guang Wang 
Citation
 JOURNAL OF CLINICAL HYPERTENSION, Vol.22(3) : 369-377, 2020-03 
Journal Title
JOURNAL OF CLINICAL HYPERTENSION
ISSN
 1524-6175 
Issue Date
2020-03
MeSH
Adult ; Antihypertensive Agents / pharmacology* ; Antihypertensive Agents / therapeutic use ; Blood Pressure / drug effects ; Blood Pressure Determination ; Humans ; Hypertension* / diagnosis ; Hypertension* / drug therapy ; Hypertension* / epidemiology ; Japan / epidemiology ; Sphygmomanometers
Keywords
elderly population ; guideline ; home blood pressure ; hypertension
Abstract
Unlike other international guidelines but in accord with the earlier Japanese Society of Hypertension (JSH) guidelines, the 2019 JSH guidelines ("JSH 2019") continue to emphasize the importance of out-of-office blood pressure (BP) measurements obtained with a home BP device. Another unique characteristic of JSH 2019 is that it sets clinical questions about the management of hypertension that are based on systematic reviews of updated evidence. JSH 2019 states that individuals with office BP < 140/90 mm Hg do not have normal BP. The final decisions regarding the diagnosis and treatment of hypertension should be performed based on out-of-office BP values together with office BP measurements. For hypertensive adults with comorbidities, the office BP goal is usually <130/80 mm Hg and the home BP goal is <125/75 mm Hg. Recommendations of JSH 2019 would be valuable for not only Japanese hypertensive patients but also Asian hypertensive patients, who share the same features including higher incidence of stroke compared with that of myocardial infarction and a steeper blood pressure-vascular event relationship.
Files in This Item:
T9992020405.pdf Download
DOI
10.1111/jch.13763
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Sung Ha(박성하) ORCID logo https://orcid.org/0000-0001-5362-478X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190180
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