Hypertension 高血壓

HT Treatment

Latest guideline

• Whelton et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Hypertension 2017 

Why to treat?

• Eleni Rapsomaniki et al. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1.25 million people, The Lancet, Volume 383, Issue 9932, 2014, Pages 1899-1911

• Prospective Studies Collaboration. "Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies." The Lancet 360.9349 (2002): 1903-1913.

• SPRINT Research Group. "A Randomized Trial of Intensive versus Standard Blood-Pressure Control." The New England journal of medicine 373.22 (2015): 2103.

Diet effect on hypertension

• Appel L et al. (1997) A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 336, 1117– 1124.

• Siervo et al. "Effects of the Dietary Approach to Stop Hypertension (DASH) diet on cardiovascular risk factors: a systematic review and meta-analysis." British Journal of Nutrition 113.1 (2015): 1-15

• WHO issues new guidance on dietary salt and potassium. WHO 2013-01-31 

• Whelton, Paul K., et al. "Effects of oral potassium on blood pressure: meta-analysis of randomized controlled clinical trials." Jama 277.20 (1997): 1624-1632 

Exercise effect on hypertension

• Cornelissen, Veronique A et al. Exercise training for blood pressure: a systematic review and meta‐analysis. Journal of the American heart association (2013) 

• Berge et al. "Blood pressure and hypertension in athletes: a systematic review." British journal of sports medicine 49.11 (2015): 716-723 

Weight control

• Aucott, Lorna, et al. "Long-term weight loss from lifestyle intervention benefits blood pressure? A systematic review." Hypertension 54.4 (2009): 756-762

White coat hypertension

• White-coat hypertension is a risk factor for cardiovascular diseases and total mortality