title: [Characterisitics of Japanese Guidelines for the Management of Hypertension 2009].
abstract: Revised version of the Japanese Society of Hypertension Guidelines for the Management of Hypertension 2009 (JSH2009) has been delivered in Jan. 2009 (Hypertens Res 32: 3-107, 2009). Followings are the main points of JSH2009 guidelines : (1) CV risk stratification and strategy of hypertension management are revised in consideration with of high-normal BP, metabolic syndrome(risk stratum-2), and CKD(risk stratum-3). (2) Tight control of BP levels < 130/85 mmHg is recommended in general hypertensive patients. More tight control is recommended in patients with DM, CKD, and post MI : BP < 130/80 mmHg. (3) Final target of BP in the elderly is < 140/90 mmHg. However BP should be reduced carefully by setting an intermediate target of < 150/90 mmHg in patients with 75 yrs or over. (4) BP control over 24 hours and usefulness of home BP measurement are stressed. Masked hypertension, morning surge, night-time hypertension, and sleep apnea syndrome are particularly important issues. (5) CCB, ARB, ACE inhibitor, diuretic, and beta-blocker are recommended as initial antihypertensive drugs, combination therapy such as ARB+diuretics or CCB are often necessary to achieve BP target. (6) Tight BP control and specific consideration for choice of drugs such as RA inhibitors are required in hypertension associated with organ damage and hypertension complicated with diabetes, CKD and metabolic syndrome.
authors: Morinomiya University of Medical Sciences.
authors: Toshio
authors: T
authors: Ogihara
mesh_terms: D006801:Humans; D006973:Hypertension / Q000628:therapy*; D007564:Japan; D017410:Practice Guidelines as Topic