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KMID : 1143420180110200639
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Public Health Weekly Report
2018 Volume.11 No. 20 p.639 ~ p.644
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Current trends in diagnostic criteria for hype
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Sohn Il-Suk
Kang Seok-Min
Cho Myeong-Chan
Lim Nam-Kyoo
Kim Won-Ho
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Abstract
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Hypertension and cardiovascular disease due to high blood pressure are leading causes of death worldwide. Korea is rapidly becoming an aging society, and prevalence of hypertension is also increasing. Hypertension is usually defined as systolic blood pressure (SBP) ≥ 140 mmHg or diastolic blood pressure (DBP) ≥ 90 mmHg, or on the basis of current prescription of antihypertensive agents. According to the National Health and Nutrition Examination Survey (NHANES) in 2016, 29.1% (35.0% men, 22.9% women) of adults ≥ 30 years of age had hypertension. Although the awareness, treatment, and control rates for hypertension have steadily increased due to efforts by the government and the Korean Society of Hypertension, the control rate for hypertension remains less than 50%. In November 2017, the American Heart Association (AHA) presented a new standard for hypertension criteria (SBP/DBP ≥ 130/80 mmHg) based on the results of many clinical trials, including the Systolic Blood Pressure Intervention Trial (SPRINT), and recommended control rate of < 130/80 mmHg in hypertensive patients at high risk of cardiovascular disease. However, since the SPRINT included only 2% of those of Asian ethnicity and did not include patients with diabetes, stroke, and heart failure, it may be difficult to apply the new guideline to all high-risk hypertensive patients directly. Therefore, the government and related societies need to undertake further research to develop a Korean model for predicting the risk of incident cardiovascular disease; they also need to conduct research on the development of appropriate criteria for diagnosing hypertension in Koreans through clinical intervention studies involving high-risk patients. In addition, the Korea Centers for Disease Control and Prevention (KCDC) plans to more actively promote the importance of hypertension prevention and management through a campaign to prevent hypertension.
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KEYWORD
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Hypertension, Cardiovascular disease, SPRINT, Systolic and diastolic blood pressure
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