Global Impact of the 2017 American College of Cardiology/American Heart Association Hypertension Guidelines

Kim, Hyeon Chang; Jeon, Yong Woo; Heo, Sung Taik

doi:10.1161/circulationaha.118.036312

Cited by 23 publications

(18 citation statements)

References 5 publications

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“…The hazard ratio for CVD for patients with BP in this range was reported as 1.5‐2.0 in Korea, similar to the 2017 ACC/AHA guidelines . However, the 2018 Korean hypertension guidelines (now in press) have not adopted the 130/80 mm Hg threshold . Instead, the role of out‐of‐office BP measurement is highlighted, in particular to diagnose masked and determine the requirement for pharmacologic treatment; the rate of masked hypertension in patients with BP 130‐139/80‐89 mm Hg was reported to be about 30%, and using atherosclerotic cardiovascular disease (ASCVD) risk calculator, only minority are indicated for pharmacologic treatment in Korea .…”

Section: Positioning Of Hbpm In the 2018 Korean Hypertension Managemementioning

confidence: 66%

“…However, the 2018 Korean hypertension guidelines (now in press) have not adopted the 130/80 mm Hg threshold . Instead, the role of out‐of‐office BP measurement is highlighted, in particular to diagnose masked and determine the requirement for pharmacologic treatment; the rate of masked hypertension in patients with BP 130‐139/80‐89 mm Hg was reported to be about 30%, and using atherosclerotic cardiovascular disease (ASCVD) risk calculator, only minority are indicated for pharmacologic treatment in Korea . However, there are no data regarding the degree of overlap between high‐risk ASCVD patients and masked hypertension in that BP range.…”

Section: Positioning Of Hbpm In the 2018 Korean Hypertension Managemementioning

confidence: 99%

“…It is considered unlikely that the changes incorporated in the 2017 ACC/AHA hypertension guidelines will be adopted in Korea, largely due to a lack of local evidence and differences between local and US healthcare environments and practice . Nevertheless, the importance of individualized cardiovascular risk assessment and the requirement to better control BP and prevent cardiovascular disease cannot be ignored.…”

Section: Specific Concerns and Perspectives For Hypertension Managemementioning

confidence: 99%

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Asian management of hypertension: Current status, home blood pressure, and specific concerns in Korea

Park

Shin

2019

J of Clinical Hypertension

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Korean prevalence rates for hypertension range from 24% in women to 33% in men. 1 In 2016, deaths from coronary artery disease (CAD) in Korea made up 10% of total mortality, and the age-adjusted death rate from CAD was 30.76 per 100 000. 2 Corresponding values for stroke were 12% of total mortality at a rate of 34.98 per 100 000. 2The incidence of hemorrhagic stroke is decreasing, and ischemic stroke is increasing. However, overall mortality from stroke has decreased substantially, by 28.3% over the first decade of the 21st century. 3 The incidence of myocardial infarction also appears to be decreasing. 4 The decrease in hemorrhagic stroke and stroke mortality can be attributed to control of hypertension. However, the overall hypertension control rate has been stable for more than a decade, at approximately 45%. 5 The control rate in treated patients is about 70%, highlighting that improving the treatment rate or adherence to therapy is an important priority for better hypertension control. 1 | CURRENT S TATUS OF HB PM IN THE MANAG EMENT OF HYPERTEN S I ON IN KO RE AA recent Korean survey showed that most physicians did not believe in the accuracy of home BP monitoring (HBPM) devices and had limited time and resources to educate individual patients. 6 Overall, the use of HBPM is seen as indispensable to monitoring and achieving BP control, including confirmation of compliance AbstractHypertension is present in almost one-quarter of women and one-third of men in Korea. Although mortality rates from stroke and myocardial infarction (MI) appear to be decreasing, stroke is a more common cause of cardiovascular death than MI.This may be due to better control of hypertension, but national control rates have remained stable for more than a decade (at about 45%). Korean Society of Hypertension

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Section: Positioning Of Hbpm In the 2018 Korean Hypertension Managemementioning

confidence: 66%

Section: Positioning Of Hbpm In the 2018 Korean Hypertension Managemementioning

confidence: 99%

Section: Specific Concerns and Perspectives For Hypertension Managemementioning

confidence: 99%

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Asian management of hypertension: Current status, home blood pressure, and specific concerns in Korea

Park

Shin

2019

J of Clinical Hypertension

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“…Based on all these differences between Asians and Caucasians, is there any merit in recommending and adopting the lower BP threshold for diagnosis and treatment target in Asia? Although the cardiovascular risk profile of Asian patients with hypertension means that it makes theoretical sense to lower diagnostic and therapeutic BP thresholds, there are currently no data from robust randomized clinical trials for the benefits of the lower targets in preventing cardiovascular disease (CVD) and reducing cardiovascular risk, particularly in high‐risk patients and especially not in Asian populations . This was the rationale cited by a number of Asian countries for leaving current guidelines unchanged for the time being.…”

Section: Discussionmentioning

confidence: 99%

“…In November 2017, these organizations introduced another change in the threshold for diagnosing hypertension and the treatment target, reducing it by 10 mm Hg to a BP of ≥130/80 mm Hg . This new lower BP threshold has caused a lot of ongoing debate, not only in the United States but also throughout the world …”

Section: Introductionmentioning

confidence: 99%