2016 – 2017 Clinical Practice Guidelines（2016 - 2017年临床实践指南）.pdfVIP

2016 – 2017 Clinical Practice Guidelines Hypertension Guidelines Purpose/Objectives The main objective for the treatment of hypertension is to achieve and maintain a goal blood pressure value. Source Guideline/ Recommendations Reference Page For persons 60 years of age or older, treat pharmacologically to lower blood pressure values that are greater than or equal to 150/90 mm Hg to achieve a blood pressure Pages 510-511 goal of less than 150/90 mm Hg. Adjust treatment upon development of adverse effects or reduction in quality of life while maintaining blood pressure goals. For persons less than 60 years of age, treat pharmacologically to lower blood pressure values greater than or equal to 140/90 mm Hg to reach a blood pressure goal of less Page 511 than 140/90 mm Hg. For persons who are 18 years old or older and who also have kidney disease and/or diabetes, treat pharmacologically to lower blood pressure values greater than or equal Pages 511-513 to 140/90 mm Hg. A blood pressure goal of less than 140/90 mm Hg is recommended. For non-black persons with or without diabetes mellitus, reduce blood pressure by treating initially with medication from one of the four categories below: o thiazide-type diuretics Page 511 o calcium channel blockers o an