Publication:
What is new in the 2018 Chinese hypertension guideline and the implication for the management of hypertension in Asia?

Issued Date

2020-01-01

Resource Type

Article

ISSN

17517176
15246175

DOI

10.1111/jch.13803

Other identifier(s)

2-s2.0-85078722210

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Journal of Clinical Hypertension. (2020)

Suggested Citation

Ji Guang Wang, Yook Chin Chia, Chen Huan Chen, Sungha Park, Satoshi Hoshide, Naoko Tomitani, Tomoyuki Kabutoya, Jinho Shin, Yuda Turana, Arieska Ann Soenarta, Jam Chin Tay, Peera Buranakitjaroen, Jennifer Nailes, Huynh Van Minh, Saulat Siddique, Jorge Sison, Guru Prasad Sogunuru, Apichard Sukonthasarn, Boon Wee Teo, Narsingh Verma, Yu Qing Zhang, Tzung Dau Wang, Kazuomi Kario What is new in the 2018 Chinese hypertension guideline and the implication for the management of hypertension in Asia?. Journal of Clinical Hypertension. (2020). doi:10.1111/jch.13803 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/53887

Research Projects

Organizational Units

Authors

Journal Issue

Thesis

Title

What is new in the 2018 Chinese hypertension guideline and the implication for the management of hypertension in Asia?

Author(s)

Ji Guang Wang
 Yook Chin Chia
 Chen Huan Chen
 Sungha Park
 Satoshi Hoshide
 Naoko Tomitani
 Tomoyuki Kabutoya
 Jinho Shin
 Yuda Turana
 Arieska Ann Soenarta
 Jam Chin Tay
 Peera Buranakitjaroen
 Jennifer Nailes
 Huynh Van Minh
 Saulat Siddique
 Jorge Sison
 Guru Prasad Sogunuru
 Apichard Sukonthasarn
 Boon Wee Teo
 Narsingh Verma
 Yu Qing Zhang
 Tzung Dau Wang
 Kazuomi Kario

Other Contributor(s)

University Medicine and Pharmacy, Hue University
 De La Salle Health Sciences Institute
 Sunway University
 Hanyang University Medical Center
 Jichi Medical University
 Yonsei University Health System
 Shanghai Jiao Tong University School of Medicine
 Madras Institute of Orthopaedics and Traumatology Hospitals
 Kathmandu University
 University of the East Ramon Magsaysay Memorial Medical Center
 Fatima Memorial Hospital
 Universitas Katolik Indonesia Atma Jaya
 Universitas Indonesia
 University of Malaya
 Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
 Yong Loo Lin School of Medicine
 National Taiwan University College of Medicine
 King George's Medical University
 Faculty of Medicine, Siriraj Hospital, Mahidol University
 National Yang-Ming University, School of Medicine
 Tan Tock Seng Hospital
 Chiang Mai University

Abstract

© 2020 Wiley Periodicals, Inc. The new Chinese hypertension guideline comprehensively covers almost all major aspects in the management of hypertension. In this new guideline, hypertension remains defined as a systolic/diastolic blood pressure of at least 140/90 mm Hg. For risk assessment, a qualitative approach is used similarly as in previous Chinese guidelines according to the blood pressure level and the presence or absence of other risk factors, target organ damage, cardiovascular complications, and comorbid diseases. The therapeutic target is 140/90 mm Hg in general, and if tolerated, especially in high-risk patients, can be more stringent, that is, 130/80 mm Hg. However, a less stringent target, that is, 150/90 mm Hg, is used in the younger (65-79 years, if tolerated, 140/90 mm Hg) and older elderly (≥80 years). Five classes of antihypertensive drugs, including β-blockers, can be used either in initial monotherapy or combination. The guideline also provided information on the management of hypertension in several special groups of patients and in the presence of secondary causes of hypertension. To implement the guideline recommendations, several nationwide hypertension control initiatives are being undertaken with new technology. The new technological platforms hopefully will help improve the management of hypertension and generate scientific evidence for future hypertension guidelines, including a possible Asian hypertension guideline in the near future.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/53887

Collections

Scopus 2020