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Highlights of the 2018 Chinese hypertension guidelines

Jing Liu1

  • 1Department of Cardiology, Peking University People's Hospital, Beijing, 100044 China.

Clinical Hypertension
|May 8, 2020
PubMed

Insights

The new Chinese hypertension guidelines maintain the 140/90 mmHg diagnosis threshold and recommend a risk-based treatment algorithm. Combination therapy, including single pill combinations, is advised for high-risk patients to improve blood pressure control.

Area of Science:

  • Cardiology
  • Public Health
  • Clinical Practice Guidelines

Background:

  • Over 80% of the hypertensive population in China have uncontrolled blood pressure (BP), necessitating improved management strategies.
  • Recent updates to US and European hypertension guidelines offer new insights for hypertension management.
  • The 2018 Chinese hypertension guidelines were issued in 2019 after a three-year revision process.

Purpose of the Study:

  • To summarize the key highlights and recommendations of the 2018 Chinese hypertension guidelines.
  • To provide an overview of the updated hypertension management strategies in China.
  • To inform physicians and practitioners on the latest evidence-based hypertension care.

Main Methods:

  • The review focuses on the diagnostic criteria and treatment algorithms presented in the 2018 Chinese hypertension guidelines.
  • Comparison with recent US and European guidelines regarding hypertension definition and treatment approaches.
  • Analysis of recommended antihypertensive drug classes and combination therapy strategies.

Main Results:

  • The Chinese guidelines retain the diagnostic threshold of ≥140/90 mmHg for hypertension, differing from the US guidelines.
  • A new algorithm for antihypertensive treatment is introduced, integrating cardiovascular risk and BP levels.
  • Five classes of antihypertensive drugs are recommended, with combination therapy, including single pill combinations (SPC), indicated for high-risk patients or those with grade 2 or 3 hypertension.

Conclusions:

  • China continues to refine its hypertension management strategies to enhance BP control rates.
  • The latest Chinese guidelines and expert consensus offer valuable guidance for healthcare professionals.
  • Implementation of these guidelines is expected to improve the management of hypertension in China.
Abstract

Keywords:
ChineseGuidelinesHypertension

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