The 2017 focused update of the guidelines of the Taiwan society of cardiology (TSOC) and the Taiwan hypertension society (THS) for the management of hypertension

Chern En Chiang, Tzung Dau Wang, Tsung Hsien Lin, Hung I. Yeh, Ping Yen Liu, Hao Min Cheng, Ting Hsing Chao, Chen Huan Chen, Kou Gi Shyu, Kwo Chang Ueng, Chung Yin Chen, Pao Hsien Chu, Shih Hsien Sung, Kang Ling Wang, Yi Heng Li, Kuo Yang Wang, Fu Tien Chiang, Wen Ter Lai, Jyh Hong Chen, Wen Jone ChenSan Jou Yeh, Ming Fong Chen, Shing Jong Lin, Jiunn-Lee Lin

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Hypertension (HT) is the most important risk factor for cardiovascular diseases. Over the past 25 years, the number of individuals with hypertension and the estimated associated deaths has increased substantially. There have been great debates in the past few years on the blood pressure (BP) targets. The 2013 European Society of Hypertension and European Society of Cardiology HT guidelines suggested a unified systolic BP target of 140 mmHg for both high-risk and low-risk patients. The 2014 Joint National Committee report further raised the systolic BP targets to 150 mmHg for those aged ≥ 60 years, including patients with stroke or coronary heart disease, and raised the systolic BP target to 140 mmHg for diabetes. Instead, the 2015 Hypertension Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society suggested more aggressive BP targets of < 130/80 mmHg for patients with diabetes, coronary heart disease, chronic kidney disease with proteinuria, and atrial fibrillation patients on antithrombotic therapy. Based on the main findings from the Systolic Blood Pressure Intervention Trial (SPRINT) and several recent meta-analyses, the HT committee members of the Taiwan Society of Cardiology and the Taiwan Hypertension Society convened and finalized the revised BP targets for management of HT. We suggested a new systolic BP target to < 120 mmHg for patients with coronary heart disease, chronic kidney disease with an eGFR of 20-60 ml/min/1.73 m2, and elderly patients aged ≥ 75 years, using unattended automated office BP measurement. When traditional office BP measurement is applied,we suggested BP target of < 140/90 mmHg for elderly patients with an age ≥ 75 years. Other BP targets with traditional office BP measurement remain unchanged. With these more aggressive BP targets, it is foreseeable that the cardiovascular events will decrease substantially in Taiwan.

Original languageEnglish
Pages (from-to)213-225
Number of pages13
JournalActa Cardiologica Sinica
Volume33
Issue number3
DOIs
Publication statusPublished - Jan 1 2017
Externally publishedYes

Keywords

  • Guidelines
  • Hypertension
  • Taiwan hypertension society
  • Taiwan society of cardiology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Chiang, C. E., Wang, T. D., Lin, T. H., Yeh, H. I., Liu, P. Y., Cheng, H. M., Chao, T. H., Chen, C. H., Shyu, K. G., Ueng, K. C., Chen, C. Y., Chu, P. H., Sung, S. H., Wang, K. L., Li, Y. H., Wang, K. Y., Chiang, F. T., Lai, W. T., Chen, J. H., ... Lin, J-L. (2017). The 2017 focused update of the guidelines of the Taiwan society of cardiology (TSOC) and the Taiwan hypertension society (THS) for the management of hypertension. Acta Cardiologica Sinica, 33(3), 213-225. https://doi.org/10.6515/ACS20170421A