2003高血压英文课.pptVIP

《中国高血压防治指南》培训手册 Hypertension Longxian Cheng Department of Cardiology, Union Hospital Tongji Medical College, HUST, Wuhan Introduction Hypertension is a major public health problem throughout the world because of its high prevalence and its association with increased risk of cardiovascular disease. Approximately 100 million Chinese have elevated BP. Of these, 77% are aware of their diagnosis, 70% are receiving treatment, and only 33% are under control. Definition Hypertension is defined as a SBP of 140 mmHg or greater and/or a DBP of 90 mmHg or greater in subjects who are not taking antihypertensive medication. Essential or primary hypertension is a hypertension of unknown cause. Isolated systolic hypertension is defined as SBP of 140 mmHg or greater and diastolic BP less than 90 mmHg. Classification of Blood Pressure Levels (mmHg) Category Systolic Diastolic Optimal 120 80 Normal 130 85 High-normal 130-139 85-89 Grade 1 hypertension(mild) 140-159 90-99 Subgroup: borderline 140-149 90-94 Grade 2 hypertension(moderate) 160-179 100-109 Grade 3 hypertension(severe) ≥180 ≥110 Isolated systolic hypertension ≥140 90 Subgroup: borderline 140-149 90 Notes 1. When a patient’s SBP and DBP fall into different categories, the higher category should apply. e.g. 154/100 mmHg is defined as grade 2 hypertension. 180/82 mmHg is defined as grade 3 isolated systolic hypertension. Notes(Continue) 2. BP is based on the average of two or more readings taken at each of two or more visits after an initial screening(筛查). e.g. 12/2 first visit: 172/102 mmHg, 168/104 mmHg. 13/2 second visit: 158/98