Key result
The 2018 Korean Society of Hypertension guidelines maintained the traditional hypertension diagnostic criteria of 140/90 mmHg, despite the 2017 ACC/AHA guidelines lowering the threshold to 130/80 mmHg.
This paper reviews the rationale behind the 2017 AHA/ACC/ASH hypertension definition (>130/80 mmHg) and discusses harmonization with guidelines retaining the traditional >140/90 mmHg threshold.
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Preserves 140/90 mmHg threshold in Korean practice; leaves open need for ethnicity-specific outcome data to guide global harmonization.
Since the Joint National Committee advocated the definition of hypertension as over 140/90 mmHg in its fourth set of guidelines in 1988, the definition of hypertension as over 140/90 mmHg has seemed to be an undebatable point of dogma. However, surprisingly, in 2017, the new hypertension guideline published by the American Heart Association/American College Cardiology/American Society of Hypertension suggested a new definition of hypertension as over 130/80 mmHg. However, the majority of hypertension guidelines, including those of the Korean Society of Hypertension and the European Society of Hypertension, have retained the traditional definition. Herein, I provide background information regarding the new definition of hypertension and present suggestions on how to harmonize the different definitions and avoid discrepancies.
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Hae‐Young Lee (2018) conducted a review in Hypertension. Hypertension diagnostic criteria was evaluated. The 2018 Korean Society of Hypertension guidelines maintained the traditional hypertension diagnostic criteria of 140/90 mmHg, despite the 2017 ACC/AHA guidelines lowering the threshold to 130/80 mmHg.
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