Global Impact of 2017 American Heart Association/American College of Cardiology Hypertension Guidelines: A Perspective From Japan
Abstract
he 2017 American Heart Association/American College of Cardiology (AHA/ ACC) guidelines for the prevention, detection, evaluation, and management of high blood pressure (BP) in adults were recently released.1 The core concept in these guidelines is earlier and tighter BP control over 24 hours, with the aim of providing more sustained target organ protection and cardiovascular disease prevention.These guidelines lower the threshold of hypertension diagnosis and target BP levels to 130/80 mm Hg.This direction of strict BP control with a new definition and universal target goal for hypertension will be the topic of debate among the guideline developing committee members of the Japanese Society of Hypertension. 2
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In the 2008 ESH HBPM recommendations, a threshold for hypertension diagnosis with systolic/diastolic HBP of 135/85 mmHg was proposed, based on a review of evidence including two meta-analyses.
“In the 2008 ESH HBPM recommendations, a threshold for hypertension diagnosis with systolic/diastolic HBP of 135/85 mmHg was proposed [4], based on the review of evidence including two meta-analyses [139,140]”
Treated hypertensive patients have higher day-by-day BPV compared with untreated individuals.
“Studies focusing on treated hypertensive patients have found a higher day-by-day BPV among these individuals compared with untreated individuals [38,140], also reporting higher values of HBPV in case of treatment with beta-blockers, short duration of treatment [246] and increasing number of antihypertensive drugs [247].”
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Ettehad, D., Emdin, C. A., Kiran, A., Anderson, S. G., Callender, T., Emberson, J., Chalmers, J., Rodgers, A., & Rahimi, K. (2016) · The Lancet · doi:10.1016/s0140-6736(15)01225-8 · Cited by 3,755 · see citing works
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Nocturnal Hypertension: New Technology and Evidence
Kario, K. (2018) · Hypertension · doi:10.1161/hypertensionaha.118.10971 · Cited by 298 · see citing works
Self-citationParati, G., Stergiou, G. S., Bilo, G., Kollias, A., Pengo, M., Ochoa, J. E., Agarwal, R., Asayama, K., Asmar, R., Burnier, M., et al. (2021) · Journal of Hypertension · doi:10.1097/hjh.0000000000002922 · Cited by 178 · see citing works
Self-citationKario, K., Shin, J., Chen, C., Buranakitjaroen, P., Chia, Y., Divinagracia, R., Nailes, J., Hoshide, S., Siddique, S., Sison, J., et al. (2019) · The Journal of Clinical Hypertension · doi:10.1111/jch.13652 · Cited by 164 · see citing works
Self-citationKario, K., Tomitani, N., Wang, T.-D., Park, S., Li, Y., Shin, J., Tsoi, K., Chen, C.-H., Cheng, H.-M., Siddique, S., et al. (2023) · Hypertension Research · doi:10.1038/s41440-023-01397-6 · Cited by 40 · see citing works
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- Authors
- Kario, K.
- Affiliations
- Jichi Medical University (JP)
- Corresponding author
- Kario, Kazuomi
- ORCID
- Kario, Kazuomi
- Venue
- Circulation
- Published
- 2018-02-06
- Volume
- 137
- Issue
- 6
- Pages
- 543-545
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2888400163
- Cited by
- 66
- References
- 1
- Citations by year
- 2023: 4 · 2022: 6 · 2021: 9 · 2020: 13 · 2019: 22 · 2018: 12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (26293192)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- target organ protection, cardiovascular disease prevention, guideline implementation
- MeSH terms
- American Heart Association, Antihypertensive Agents, Blood Pressure, Cardiology, Circadian Rhythm, Humans, Hypertension, Japan, Risk Factors, Time Factors, United States, Global Health, Treatment Outcome, Practice Guidelines as Topic
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