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ZhangWei Zhong
NEW GUIDELINES
ONTHE
MAN.
AGEMENT
OF
HIGH
BLOOD
PRESSURE
As more
stringent guidelines enable
better
control and management
of hy-
pertension and
its
dreaded complica-
tions e.9., stroke and coronaries,
in
1999,
the
New Guidelines on
the
Man-
agement
ol
Hypertension in China was
announced.
For adults
>1
8
years, "hy-
pertension"
is
defined as multiple read-
ings over days reaching
>/=
140
mm
systolic or >/=
90
mm
diastolic.
Hyper-
tension
is
further subdivided into
3
degrees: 160
mm
systolic
or100
mm
diastolic are the dividing lines between
1st
and
2nd
degrees; 180 mm systolic
or
110
mm
diastolic
are
the dividing
lines
for
2nd
and
3'd
degrees. Other closely
related risk
factors
(RF) are also
defined
-
age: male >55 / female >65; smoking;
total blood
cholesterol
>6.5
mmol/L;
diabetes; coronary family history. Risks
of complications are thus defined
as:
"low":
1s
degree hypertension,
no
RF;
"medium":
2nd
degree hypertension,
1-
2
RF; "high":
1st/2nd
degree
hypertension, 3 or more RF or3'd de-
gree hypertension; "very
high": 3d de-
gree
hypertension,
1
or
more RF or
1"t
to 3d degree hypertension with compli-
cations
-
the risks of (further) compli-
cations
is
>30%
in
10
years. Hyperten-
sion
requires
a
life-long
control.
Main-
tain
a
close collaboration with your doc-
tor
and
learn to take
blood
pressure at
home. Never
suspended
hypertension
treatment!
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