High prevalence, low awareness, low treatment, and low control rates

A clinical syndrome characterized by increased systemic arterial pressure, affecting the structure and function of important organs, such as the heart, brain, and kidneys.

Hypertension (SBP ≥ 140 and/or DPB ≥ 90)

The diagnosis of hypertension must be based on three blood pressure measurements on different days without taking medication.

genetic factors

envirnmental factor

sympathetic nervous system activity

Activation of the renin-angiotensin-aldosterone system

Renal water and sodium retention

Impaired endothelial cell function

Insulin resistance

Thickening of the vessel wall, narrowing of the vessel lumen, and ischemic damage promote the formation and development of atherosclerosis.

heart

brain

kidney

retina

complication

Ambulatory blood pressure monitoring (recommended item)

risk stratification

cardiovascular risk factors

Average ≥130/80mmHg, daytime ≥135/85mmHg, night ≥120/70mmHg

Normal high blood pressure fluctuates in a dipper pattern, with blood pressure falling by 10% to 20% at night.

abnormal blood pressure

Reducing cardiovascular and cerebrovascular events is the fundamental purpose of lowering blood pressure. The general blood pressure control target value should be <140/90; for patients with diabetes, chronic kidney disease, heart failure, or stable coronary heart disease combined with hypertension, the control target value should be <130/80; systolic hypertension in the elderly should be controlled below 150

The low-risk group should improve their lifestyle and take medication if it is ineffective for six months; the intermediate-risk and high-risk groups should improve their lifestyle and take medication; the high-risk group should intensify treatment.

Improve lifestyle

antihypertensive medication