--
,
10mmHg50% 5mmHg46%120--139mmHg < 120mmHg40%6 5mmHgESRD25%
Epidemiology of CVD risk factors in the Asia Pacific region
20036APCSC---.
Studies currently in APCSC
()500,81998,790% 33.745.7 ()-45.053.2-9.514.4-20-10720-104APCSC
P = 0.001+10 mmHg: 1.24 (1.15-1.35)+10 mmHg:+24%+10 mmHg: 1.53 (1.48-1.59)+10 mmHg: +53 %
P = 0.0002Hazard ratio+10 mmHg: 1.20 (1.04-1.35)+10 mmHg:+20%+10 mmHg: 1.70 (1.64-1.76)+10 mmHg:+70%Mean usual SBP (mmHgl)
CHDCVDCVDLancet 2003;362:1527-45
2006: Treat to goal
mmHg
140/90 130/80 130/80
140/ 90 130/ 80
II
--
AT
Glagovs (Progression)Source: Glagov et al., N Engl J Med, 1987. REVERSAL)
40%-60%
10mmHg (Rule of TENS)10mmHgWeir, M. 4th annual Diovan International Symposium Feb 2003. Seville, Spain
, 2004. 32(4)291-29470%
Chart1
17.28
44.15
28.27
10.31
Percentage of Patients(%)
Sheet1
123
17.2844.1528.2710.31
1) 220/10mmHg2JNC 72) 2005Chobanian AV, et al. JNC 7 report. JAMA.2003;289:2560-72. 2003 ESH/ESC Hypertension Guidelines. Journal of Hypertension 2003; 21:1779-1786
ACECCBARB
35%-40% 20%-25% 50%
110SBP10mmHg, 101 JNC-7
3140/90mmHg
---BHSAAMI2/35DMSBPDBPIVDBP1-225mg3
---
---
mmHg 1 2 3 SBP 140-159 160-179 180 DBP 90-99 100-109 110 1-2 3
Bp140-180/90-110 mmHg 1-2HTN 3-63-12 Bp140/90Bp140/90 Bp140/90 p140/90
1.
,
2.
3. ()
ISH,
4. ACEI
5. AT II
ARBACEIACEI 1DM
ARB LVH,
6.
1~16mg
BB TG II-IIIAVBIDM
ACEIK AKDM
ATIIACEI ACEI
AVB
140/90mmHg 130/85mmHg 130/80mmHg >1g/24h 125/75mmHg 150mmHg
,1 ACEI2 3 4 ACEIARBCCB
: ACEI/ARB+CCB+ACEI/ARB
: ARB/ACEI+-
: +-+ACEI/ARB : -+ CCB + ACEI
: ACEI/ARB +-
: -+ CCB
: CCB + ACEI1
: ACEI+ARB+CCB
: CCB+, CCB+ACEI, ACEI/ARB+
: ACEI/ARB + CCB : CCB+ : CCB+ACEI/-B+: +CCB+ ACEI +-B -B+2
ACEI/ARB -
(ISH) ()TODACC, , (,) (,) ACEI(ARBs)
(4) X (X1/2)
ACEI CCBs (-13.3) (-9.3) (-6.8) (-5.5)
1
CCB10mgq6hq8h10mgq6hq8h 30mg qd -2550mgq12h 2550mgtid 25mgqd 0.250.5mgBid Qid 2550mgq12hPO5mg, ACEIARB 2
,, , ACEI, ARBS
*** 20036APCSC---.944601626APCSCSBP(p=0.001)SBPSBPAPCSCSBP( P=0.0002)SBPSBP
4/3mmHg23CHD15HF16CV1514**:, Treat to goal 2006 (140/90 mmHg) *IIIIII ** 10mmHg10mmHg***** 10-20mmHg3 ***
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