Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam.
Department of Internal Medicine, Faculty of Medicine, Ban Me Thuot University, Vietnam.
J Clin Hypertens (Greenwich). 2022 Sep;24(9):1121-1138. doi: 10.1111/jch.14580.
Hypertension is uncontrolled in over 50% hypertensive population in Vietnam which indicated a compelling need for new hypertension guidelines. The highlights were composed of three parts: the diagnosis of arterial hypertension, the recommendation of home blood pressure monitoring, and the treatment of hypertension. Our guideline applied flexibility based upon the "essential" and "optimal" concepts in the diagnosis and management of hypertensive patients according to the socio-economic status of Vietnam. Hypertension is defined as an office systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg which is equivalent to a 24-hr ambulatory blood pressure monitoring average of ≥130/80 mmHg or home blood pressure monitoring average of ≥135/85 mmHg. We established an integrated hypertensive diagnostic algorithm for adults with the optimal option by the role of out-of-office blood pressure measurement, especially home blood pressure monitoring, which is fully recommended in this guideline. The threshold and target of hypertension treatment were individualized in safety range and effective evidence-based medicine. We also update for the management of resistant hypertension, hypertension in diabetic patients, hypertension with heart failure, and with other comorbidities. Vietnam has tried on the best strategy for improving the control of hypertension and recently received several achievements in the world, especially in the Asian region. Because the conditions for conducting our national data have not been fully conducted, we have to adapt from existing guidelines so there are still certain limitations that need to be supplemented and adjusted in the upcoming version.
越南超过 50%的高血压患者血压控制不佳,这表明需要制定新的高血压指南。要点包括三部分:动脉高血压的诊断、家庭血压监测的建议以及高血压的治疗。我们的指南根据越南的社会经济状况,基于“基本”和“最佳”的概念,灵活应用于高血压患者的诊断和管理。高血压定义为诊室收缩压≥140mmHg 和/或舒张压≥90mmHg,相当于 24 小时动态血压监测平均值≥130/80mmHg 或家庭血压监测平均值≥135/85mmHg。我们为成年人建立了一个综合的高血压诊断算法,最佳选择是通过非诊室血压测量,特别是家庭血压监测的作用,本指南对此进行了全面推荐。高血压治疗的阈值和目标在安全范围内个体化,并基于有效的循证医学证据。我们还更新了耐药性高血压、糖尿病合并高血压、心力衰竭合并高血压和其他合并症的管理。越南尝试了改善高血压控制的最佳策略,最近在世界范围内,特别是在亚洲地区取得了几项成就。由于开展我们国家数据的条件尚未完全具备,我们不得不从现有指南中进行调整,因此仍存在一定的局限性,需要在即将发布的版本中进行补充和调整。