The 2017 focused update of the guidelines of the Taiwan society of cardiology (TSOC) and the Taiwan hypertension society (THS) for the management of hypertension
Journal
Acta Cardiologica Sinica
Journal Volume
33
Journal Issue
3
Pages
213-225
Date Issued
2017-05
Author(s)
Chern-En Chiang
Tsung-Hsien Lin
Hung-I Yeh
Ping-Yen Liu
Hao-Min Cheng
Ting-Hsing Chao
Chen-Huan Chen
Kou-Gi Shyu
Kwo-Chang Ueng
Chung-Yin Chen
Pao-Hsien Chu
Shih-Hsien Sung
Kang-Ling Wang
Yi-Heng Li
Kuo-Yang Wang
Wen-Ter Lai
Jyh-Hong Chen
San-Jou Yeh
Shing-Jong Lin
Abstract
Hypertension (HT) is the most important risk factor for cardiovascular diseases. Over the past 25 years, the number of individuals with hypertension and the estimated associated deaths has increased substantially. There have been great debates in the past few years on the blood pressure (BP) targets. The 2013 European Society of Hypertension and European Society of Cardiology HT guidelines suggested a unified systolic BP target of 140 mmHg for both high-risk and low-risk patients. The 2014 Joint National Committee report further raised the systolic BP targets to 150 mmHg for those aged ≥ 60 years, including patients with stroke or coronary heart disease, and raised the systolic BP target to 140 mmHg for diabetes. Instead, the 2015 Hypertension Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society suggested more aggressive BP targets of < 130/80 mmHg for patients with diabetes, coronary heart disease, chronic kidney disease with proteinuria, and atrial fibrillation patients on antithrombotic therapy. Based on the main findings from the Systolic Blood Pressure Intervention Trial (SPRINT) and several recent meta-analyses, the HT committee members of the Taiwan Society of Cardiology and the Taiwan Hypertension Society convened and finalized the revised BP targets for management of HT. We suggested a new systolic BP target to < 120 mmHg for patients with coronary heart disease, chronic kidney disease with an eGFR of 20-60 ml/min/1.73 m2, and elderly patients aged ≥ 75 years, using unattended automated office BP measurement. When traditional office BP measurement is applied, we suggested BP target of < 140/90 mmHg for elderly patients with an age ≥ 75 years. Other BP targets with traditional office BP measurement remain unchanged. With these more aggressive BP targets, it is foreseeable that the cardiovascular events will decrease substantially in Taiwan.
Subjects
Guidelines; Hypertension; Taiwan Hypertension Society; Taiwan Society of Cardiology.
Type
journal article