Department of Medical Sciences, School of Medical and Life Sciences, Sunway University, Bandar Sunway, Malaysia.
Department of Primary Care Medicine, Faculty of Medicine, University of Malaya Kuala, Lumpur, Malaysia.
J Clin Hypertens (Greenwich). 2021 Mar;23(3):422-434. doi: 10.1111/jch.14226. Epub 2021 Feb 26.
Guidelines on the management of hypertension have been developed by various professional bodies and institutions to primarily address the issues of diagnosis, treatment, and control in order to rationalize and improve the management of hypertension. Hypertension guidelines across the world have recently been updated following the new and controversial lower blood pressure threshold of ≥130/80 mmHg for the diagnosis of hypertension adopted by the Americans. While there are differences between the major as well as between the Asian national guidelines, there were also many similarities. This paper discusses and highlights the differences and similarities between the major international guidelines of the American College of Cardiology/American Heart Association, of the European Society of Cardiology/European Society of Hypertension, and of the International Society of Hypertension and also compares them with the Asian guidelines.
各种专业机构和组织制定了高血压管理指南,主要解决诊断、治疗和控制方面的问题,以实现高血压管理的合理化和改进。随着美国采用新的有争议的高血压诊断界值<130/80mmHg,世界各地的高血压指南最近进行了更新。虽然主要指南以及亚洲国家指南之间存在差异,但也有许多相似之处。本文讨论并强调了美国心脏病学会/美国心脏协会、欧洲心脏病学会/欧洲高血压学会以及国际高血压学会这三大国际指南之间的差异和相似之处,并将其与亚洲指南进行了比较。