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Comparison of guidelines for the management of hypertension: Similarities and differences between international and Asian countries; perspectives from HOPE-Asia Network

Chia YC 1 , Turana Y 2 , Sukonthasarn A 3 , Zhang Y 4 , Shin J 5 , Cheng HM 6 Show all authors , Tay JC 7 , Tsoi K 8 , Siddique S 9 , Verma N 10 , Buranakitjaroen P 11 , Sogunuru GP 12 , Nailes J 13 , Van Minh H 14 , Park S 15 , Teo BW 16 , Chen CH 17 , Wang TD 18 , Soenarta AA 19 , Hoshide S 20 , Wang JG 21 , Kario K 20 , Hypertension Cardiovascular Outcome Prevention, Evidence (HOPE) Asia Network

Affiliations 

  • 1 Department of Medical Sciences, School of Medical and Life Sciences, Sunway University, Bandar Sunway, Malaysia
  • 2 School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  • 3 Cardiology Division, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
  • 4 Division of Hypertension and Heart Failure, Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
  • 5 Faculty of Cardiology Service, Hanyang University Medical Center, Seoul, Korea
  • 6 Institute of Public Health and Community Medicine Research Center, National Yang-Ming University School of Medicine, Taipei, Taiwan
  • 7 Department of General Medicine, Tan Tock Seng Hospital, Singapore
  • 8 JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong
  • 9 Punjab Medical Center, Lahore, Pakistan
  • 10 Department of Physiology, King George's Medical University, Lucknow, India
  • 11 Division of Hypertension, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 12 MIOT International Hospital, Chennai, India
  • 13 University of the East Ramon Magsaysay Memorial Medical Center Inc., Quezon City, Philippines
  • 14 Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue, Vietnam
  • 15 Division of Cardiology, Cardiovascular Hospital, Yonsei Health System, Seoul, Korea
  • 16 Division of Nephrology Department of Medicine, Yong Loo Lin School of Medicine, Singapore
  • 17 Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan
  • 18 Cardiovascular Center and Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan
  • 19 Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia-National Cardiovascular Center, Jakarta, Indonesia
  • 20 Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan
  • 21 Department of Hypertension, Centre for Epidemiological Studies and Clinical Trials, The Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
J Clin Hypertens (Greenwich), 2021 Mar;23(3):422-434.
PMID: 33634570 DOI: 10.1111/jch.14226

Abstract

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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