JSH2019 in Medical Checkup

Abstract

 Guidelines for the management of hypertension 2019 in Japan (JSH2019) proposes that home blood pressure or ambulatory blood pressure other than office blood pressure provide useful information for the management of hypertension. The JSH2019 renamed the categories of blood pressure levels <140/90 mmHg (i.e., normal blood pressure, high normal blood pressure, and high blood pressure). Differ from the previous guideline, in subjects with high normal/high blood pressure, the lifestyle modifications are recommended. In the initial plan of the management of hypertension, age ≥65 years old, male, current smoking, dyslipidemia, diabetes mellitus, history of cardiovascular disease, non-valvular atrial fibrillation, proteinuria were proposed as markers for the risk assessment. In hypertensive subjects with high risk, the medical treatment for hypertension is recommended immediately.