Skip to main content

Advertisement

Log in

Impact of the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines on the Next Blood Pressure Guidelines in Asia

  • Prevention of Hypertension: Public Health Challenges (Yuichiro Yano, Section Editor)
  • Published:
Current Hypertension Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

To estimate the impact of the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines for high blood pressure (BP) on the next hypertension guidelines in Asia.

Recent Findings

The 2017 ACC/AHA guidelines for high BP in adults changed the diagnostic threshold and the management goal of BP from 140/90 to 130/80 mmHg. Another characteristic of the new guideline is its focus on a practical approach for the effective management of hypertension by using home and ambulatory BP monitoring; this point is also recommended in the 2014 Japanese Society of Hypertension Guidelines for the Management of Hypertension.

Summary

In Japan, the guidelines for hypertension management are currently under revision and will be released in the spring of 2019. The core concept of the 2019 Japanese Society of Hypertension Guidelines for the Management of Hypertension, i.e., early and tight BP control over 24 h, will contribute to target-organ protection and cardiovascular disease prevention for Asians.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kario K. Global impact of 2017 American Heart Association/American College of Cardiology Hypertension Guidelines: a perspective from Japan. Circulation. 2018;137(6):543–5. https://doi.org/10.1161/CIRCULATIONAHA.117.032851.

    Article  PubMed  Google Scholar 

  2. Wang JG, Liu L. Global impact of 2017 American College of Cardiology/American Heart Association Hypertension Guidelines: a perspective from China. Circulation. 2018;137(6):546–8. https://doi.org/10.1161/CIRCULATIONAHA.117.032890.

    Article  PubMed  Google Scholar 

  3. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, 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. 2018;71(6):e13–e115. https://doi.org/10.1161/HYP.0000000000000065.

    Article  CAS  PubMed  Google Scholar 

  4. Kario K, Chen CH, Park S, Park CG, Hoshide S, Cheng HM, et al. Consensus document on improving hypertension management in Asian patients, taking into account Asian characteristics. Hypertension. 2018;71(3):375–82. https://doi.org/10.1161/HYPERTENSIONAHA.117.10238.

    Article  CAS  PubMed  Google Scholar 

  5. Kario K, Saito I, Kushiro T, Teramukai S, Ishikawa Y, Mori Y, et al. Home blood pressure and cardiovascular outcomes in patients during antihypertensive therapy: primary results of HONEST, a large-scale prospective, real-world observational study. Hypertension. 2014;64(5):989–96. https://doi.org/10.1161/HYPERTENSIONAHA.114.04262.

    Article  CAS  PubMed  Google Scholar 

  6. Saklayen MG. The global epidemic of the metabolic syndrome. Curr Hypertens Rep. 2018;20(2):12. https://doi.org/10.1007/s11906-018-0812-z.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Ishikawa Y, Ishikawa J, Ishikawa S, Kayaba K, Nakamura Y, Shimada K, et al. Prevalence and determinants of prehypertension in a Japanese general population: the Jichi Medical School Cohort Study. Hypertens Res. 2008;31(7):1323–30. https://doi.org/10.1291/hypres.31.1323.

    Article  PubMed  Google Scholar 

  8. Kario K. Key points of the Japanese Society of Hypertension Guidelines for the Management of Hypertension in 2014. Pulse (Basel). 2015;3(1):35–47. https://doi.org/10.1159/000381300.

    Article  Google Scholar 

  9. Nakano M, Eguchi K, Sato T, Onoguchi A, Hoshide S, Kario K. Effect of intensive salt-restriction education on clinic, home, and ambulatory blood pressure levels in treated hypertensive patients during a 3-month education period. J Clin Hypertens (Greenwich). 2016;18(5):385–92. https://doi.org/10.1111/jch.12770.

    Article  Google Scholar 

  10. Shimamoto K, Ando K, Fujita T, Hasebe N, Higaki J, Horiuchi M, et al. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2014). Hypertens Res. 2014;37(4):253–390. https://doi.org/10.1038/hr.2014.20.

    Article  PubMed  Google Scholar 

  11. Yano Y, Oparil S. Masked hypertension. Curr Hypertens Rep. 2017;19(10):81. https://doi.org/10.1007/s11906-017-0779-1.

    Article  PubMed  Google Scholar 

  12. Kario K. Evidence and perspectives on the 24-hour management of hypertension: hemodynamic biomarker-initiated ‘Anticipation Medicine’ for zero cardiovascular event. Prog Cardiovasc Dis. 2016;59(3):262–81. https://doi.org/10.1016/j.pcad.2016.04.001.

    Article  PubMed  Google Scholar 

  13. Kario K, Tomitani N, Kanegae H, Yasui N, Nishizawa M, Fujiwara T, et al. Development of a new ICT-based multisensor blood pressure monitoring system for use in hemodynamic biomarker-initiated anticipation medicine for cardiovascular disease: the national IMPACT program project. Prog Cardiovasc Dis. 2017;60(3):435–49. https://doi.org/10.1016/j.pcad.2017.10.002.

    Article  PubMed  Google Scholar 

  14. Kario K. Perfect 24-h management of hypertension: clinical relevance and perspectives. J Hum Hypertens. 2017;31(4):231–43. https://doi.org/10.1038/jhh.2016.65.

    Article  CAS  PubMed  Google Scholar 

  15. Omboni S, Aristizabal D, De la Sierra A, Dolan E, Head G, Kahan T, et al. Hypertension types defined by clinic and ambulatory blood pressure in 14 143 patients referred to hypertension clinics worldwide. Data from the ARTEMIS study. J Hypertens. 2016;34(11):2187–98. https://doi.org/10.1097/HJH.0000000000001074.

    Article  CAS  PubMed  Google Scholar 

  16. Hoshide S, Kario K, de la Sierra A, Bilo G, Schillaci G, Banegas JR, et al. Ethnic differences in the degree of morning blood pressure surge and in its determinants between Japanese and European hypertensive subjects: data from the ARTEMIS study. Hypertension. 2015;66(4):750–6. https://doi.org/10.1161/HYPERTENSIONAHA.115.05958.

    Article  CAS  PubMed  Google Scholar 

  17. Li Y, Wang JG. Isolated nocturnal hypertension: a disease masked in the dark. Hypertension. 2013;61(2):278–83. https://doi.org/10.1161/HYPERTENSIONAHA.111.00217.

    Article  CAS  PubMed  Google Scholar 

  18. Boggia J, Li Y, Thijs L, Hansen TW, Kikuya M, Bjorklund-Bodegard K, et al. Prognostic accuracy of day versus night ambulatory blood pressure: a cohort study. Lancet. 2007;370(9594):1219–29. https://doi.org/10.1016/S0140-6736(07)61538-4.

    Article  PubMed  Google Scholar 

  19. Wang JG, Kario K, Chen CH, Park JB, Hoshide S, Huo Y, et al. Management of morning hypertension: a consensus statement of an Asian expert panel. J Clin Hypertens (Greenwich). 2018;20(1):39–44. https://doi.org/10.1111/jch.13140.

    Article  Google Scholar 

  20. Nakagawa N, Hasebe N. Impact of mild-to-moderate alcohol consumption and smoking on kidney function. Hypertens Res. 2017;40(9):809–10. https://doi.org/10.1038/hr.2017.51.

    Article  CAS  PubMed  Google Scholar 

  21. Fujiwara T, Hoshide S, Kanegae H, Nishizawa M, Kario K. Reliability of morning, before-dinner, and at-bedtime home blood pressure measurements in patients with hypertension. J Clin Hypertens (Greenwich). 2018;20(2):315–23. https://doi.org/10.1111/jch.13165.

    Article  Google Scholar 

  22. Kario K, Wang JG. Could 130/80 mm Hg be adopted as the diagnostic threshold and management goal of hypertension in consideration of the characteristics of Asian populations? Hypertension. 2018;71(6):979–84. https://doi.org/10.1161/HYPERTENSIONAHA.118.11203.

    Article  CAS  PubMed  Google Scholar 

  23. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure - the JNC 7 report. JAMA. 2003;289(19):2560–72.

    Article  CAS  Google Scholar 

  24. Chobanian AV. Shattuck Lecture. The Hypertension Paradox--more uncontrolled disease despite improved therapy. N Engl J Med. 2009;361(9):878–87. https://doi.org/10.1056/NEJMsa0903829.

    Article  CAS  PubMed  Google Scholar 

  25. Konta T, Ikeda A, Ichikawa K, Fujimoto S, Iseki K, Moriyama T, et al. Blood pressure control in a Japanese population with chronic kidney disease: a baseline survey of a nationwide cohort. Am J Hypertens. 2012;25(3):342–7. https://doi.org/10.1038/ajh.2011.217.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Naoki Nakagawa.

Ethics declarations

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Prevention of Hypertension: Public Health Challenges

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nakagawa, N., Hasebe, N. Impact of the 2017 American College of Cardiology/American Heart Association Blood Pressure Guidelines on the Next Blood Pressure Guidelines in Asia. Curr Hypertens Rep 21, 2 (2019). https://doi.org/10.1007/s11906-019-0906-2

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11906-019-0906-2

Keywords

Navigation