The 2022 focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension
Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients’ prognosis. Th...
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Published in | Clinical hypertension Vol. 29; no. 1; pp. 11 - 21 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
BioMed Central
15.02.2023
BioMed Central Ltd BMC 대한고혈압학회 |
Subjects | |
Online Access | Get full text |
ISSN | 2056-5909 1342-2154 2635-6325 2056-5909 |
DOI | 10.1186/s40885-023-00234-9 |
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Abstract | Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients’ prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed. |
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AbstractList | Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients' prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed.Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients' prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed. Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients' prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed. Keywords: Blood pressure, Guideline, Hypertension, Korea Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients' prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed. Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients’ prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed. KCI Citation Count: 56 Abstract Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity. Controlling blood pressure (BP) is very important because it is well known that lowering high BP effectively improves patients’ prognosis. This review aims to provide a focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension. The importance of ambulatory BP and home BP monitoring was further emphasized not only for the diagnosis but also for treatment target. By adopting corresponding BPs, the updated guideline recommended out-of-office BP targets for both standard and intensive treatment. Based on the consensus on corresponding BPs and Systolic Blood Pressure Intervention Trial (SPRINT) revisit, the updated guidelines recommended target BP in high-risk patients below 130/80 mmHg and it applies to hypertensive patients with three or more additional cardiovascular risk factors, one or more risk factors with diabetes, or hypertensive patients with subclinical organ damages, coronary or vascular diseases, heart failure, chronic kidney disease with proteinuria, and cerebral lacunar infarction. Cerebral infarction and chronic kidney disease are also high-risk factors for cardiovascular disease. However, due to lack of evidence, the target BP was generally determined at < 140/90 mmHg in patients with those conditions as well as in the elderly. Updated contents regarding the management of hypertension in special situations are also discussed. |
Audience | Academic |
Author | Lee, Eun Mi Kim, Ju Han Park, Jong-Moo Shin, Jinho Park, Sungha Kim, Kwang-il Lee, Hae-Young Cho, Eun Joo Kim, Hack-Lyoung Kim, Hyeon Chang Kim, Young-Kwon Lee, Jang Hoon Ahn, Shin Young |
Author_xml | – sequence: 1 givenname: Hack-Lyoung orcidid: 0000-0002-6703-1472 surname: Kim fullname: Kim, Hack-Lyoung organization: Department of Internal Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul National University College of Medicine – sequence: 2 givenname: Eun Mi orcidid: 0000-0002-2447-9453 surname: Lee fullname: Lee, Eun Mi organization: Department of Internal Medicine, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine – sequence: 3 givenname: Shin Young orcidid: 0000-0002-6844-0614 surname: Ahn fullname: Ahn, Shin Young organization: Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine – sequence: 4 givenname: Kwang-il orcidid: 0000-0002-6658-047X surname: Kim fullname: Kim, Kwang-il organization: Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine – sequence: 5 givenname: Hyeon Chang orcidid: 0000-0001-7867-1240 surname: Kim fullname: Kim, Hyeon Chang organization: Department of Preventive Medicine, Yonsei University College of Medicine – sequence: 6 givenname: Ju Han orcidid: 0000-0002-3186-0770 surname: Kim fullname: Kim, Ju Han organization: Department of Internal Medicine, Chonnam National University Hospital – sequence: 7 givenname: Hae-Young orcidid: 0000-0002-9521-4102 surname: Lee fullname: Lee, Hae-Young organization: Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine – sequence: 8 givenname: Jang Hoon orcidid: 0000-0002-7101-0236 surname: Lee fullname: Lee, Jang Hoon organization: Department of Internal Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine – sequence: 9 givenname: Jong-Moo orcidid: 0000-0002-4199-3024 surname: Park fullname: Park, Jong-Moo organization: Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University – sequence: 10 givenname: Eun Joo orcidid: 0000-0002-1695-9852 surname: Cho fullname: Cho, Eun Joo organization: Department of Internal Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea – sequence: 11 givenname: Sungha orcidid: 0000-0001-5362-478X surname: Park fullname: Park, Sungha organization: Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine – sequence: 12 givenname: Jinho orcidid: 0000-0001-6706-6504 surname: Shin fullname: Shin, Jinho organization: Department of Internal Medicine, Hanyang University Medical Center, Hanyang University College of Medicine – sequence: 13 givenname: Young-Kwon orcidid: 0000-0002-2001-3218 surname: Kim fullname: Kim, Young-Kwon email: e-ykkim@hanmail.net organization: Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University School of Medicine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36788612$$D View this record in MEDLINE/PubMed https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002930267$$DAccess content in National Research Foundation of Korea (NRF) |
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DOI | 10.1186/s40885-023-00234-9 |
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Keywords | Hypertension Guideline Blood pressure Korea |
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Snippet | Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and morbidity.... Abstract Hypertension is the leading cause of death in human being, which shows high prevalence and associated complications that increase the mortality and... |
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SubjectTerms | Angiology Associations, institutions, etc Automation Blood pressure Cardiac arrhythmia Cardiology Chronic kidney failure Diabetes Guideline Heart Hypertension Korea Measurement techniques Medicine Medicine & Public Health Mortality Prognosis Review Risk factors Societies South Korea Stroke 내과학 |
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Title | The 2022 focused update of the 2018 Korean Hypertension Society Guidelines for the management of hypertension |
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