Highlights of the 2018 Chinese hypertension guidelines

Clinical Hypertension

Table 4 BP targets in Chinese, Korean, Japanese, US and European hypertension guidelines

	CHL 2018 [1]	KSH 2018 [7,8,9]	JSH 2019 [10]	AHA/ACC 2017 [2]	ESC/ESH 2018 [3]
Young & middle-aged adults	< 140/90 mmHg^a	< 140/90 mmHg^c	< 130/80 mmHg	< 130/80 mmHg	120–130/70–79 mmHg
Elderly	65-79y < 150/90 mmHg^b	≥65y < 140/90 mmHg	≥75y < 140/90 mmHg	≥65y < 130/80 mmHg	65–79y 130–139/ 70–79 mmHg
Elderly	≥80y < 150/90 mmHg	≥65y < 140/90 mmHg	≥75y < 140/90 mmHg	≥65y < 130/80 mmHg	≥80y 130–139/ 70–79 mmHg
DM	< 130/80 mmHg	< 140/85 mmHg ^c	< 130/80 mmHg	< 130/80 mmHg	120–130/70–79 mmHg^f
CKD without proteinuria	< 140/90 mmHg	< 140/90 mmHg	< 140/90 mmHg	< 130/80 mmHg	130–139/70–79 mmHg
CKD with proteinuria	< 130/80 mmHg	< 130/80 mmHg	< 130/80 mmHg	< 130/80 mmHg	130–139/70–79 mmHg
Secondary prevention of stroke	< 140/90 mmHg	< 140/90 mmHg ^d	< 130/80 mmHg ^e	< 130/80 mmHg	120–130/70–79 mmHg^f
CAD	< 140/90 mmHg^a	< 130/80 mmHg	< 130/80 mmHg	< 130/80 mmHg	120–130/70–79 mmHg^f
HFrEF	< 130/80 mmHg	< 130/80 mmHg	NA	< 130/80 mmHg	NA

ACC American College of Cardiology, AHA American Heart Association, BP blood pressure, CAD coronary artery disease, CHL Chinese Hypertension League, CKD chronic kidney disease, DM diabetes mellitus, ESC European Society of Cardiology, ESH European Society of Hypertension, HFrEF heart failure with reduced ejection fraction, JSH Japanese Society of Hypertension, KSH Korean Society of Hypertension, NA not available.
^a < 130/80 mmHg, if tolerable or high risk
^b < 140/90 mmHg, if tolerable
^c < 130/80 mmHg, if high risk.
^d < 130/80 mmHg, with lacunar infarction.
^e < 140/90 mmHg for bilateral cervical arteries stenosis, main cerebral artery occlusion or unevaluated.
^f130–139/70–79 mmHg for people aged ≥65 years.

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