Why the study?
The study investigated blood pressure control status using data from a health checkup in a Japanese city.
What proportion of treated hypertensive patients achieve blood pressure targets of <140/90 mmHg and <130/80 mmHg in a real-world Japanese cohort?
What proportion of treated hypertensive patients achieve blood pressure targets of <140/90 mmHg and <130/80 mmHg in a real-world Japanese cohort?
In a 2017 Japanese health checkup cohort, while two-thirds of treated hypertensive patients achieved BP <140/90 mmHg, only 30.7% achieved the stricter target of <130/80 mmHg recommended by recent guidelines.
Blood pressure (BP) control status was investigated using data of a health checkup held in a Japanese city. In fiscal year 2017, 54,287 persons (age, 40-74 years; males, 49%) underwent the checkup; 28,167 examinees had a systolic BP ≥140 mmHg, a diastolic BP ≥90 mmHg, or took antihypertensive agents. Of these subjects, 20,153 subjects took antihypertensive agents. A BP <140/90 was achieved in 66.6% (13,426) of the treated subjects; however, a BP <130/80 was achieved only in 30.7% (6,188). In conclusion, in 2017, although a relatively large proportion of treated subjects achieved a BP <140/90 mmHg with antihypertensive agents, only approximately half of these subjects reached a BP <130/80 mmHg, which is the latest treatment target for persons aged 75 years or less according to the Japanese hypertension guidelines 2019.
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Fujishima et al. (2020) studied this question.
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