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Comparative Study
. 2020 May 19;20(1):237.
doi: 10.1186/s12872-020-01523-z.

Potential impacts of the 2017 American College of Cardiology/American Heart Association high blood pressure guideline on Chinese adults and how to address them

Yundi Jiao  1 , Zhaoqing Sun  1 , Yanxia Xie  2 , Jia Zheng  2 , Zhao Li  3 , Xiaofan Guo  3 , Yue Dai  2 , Liqiang Zheng  4 , Yingxian Sun  5
Affiliations
Comparative Study

Potential impacts of the 2017 American College of Cardiology/American Heart Association high blood pressure guideline on Chinese adults and how to address them

Yundi Jiao et al. BMC Cardiovasc Disord. .

Abstract

Background: The current analysis was performed to estimate the percentage and number of Chinese adults with hypertension and the percentage and number of Chinese adults recommended to receive pharmacological antihypertensive treatment according to the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guideline compared with the same parameters according to the 2010 Chinese guideline.

Methods: We used 2011 data from the China Health and Nutrition Survey (CHNS). A total of 12,499 Chinese adults aged ≥18 years with complete blood pressure (BP) values were selected for the present analysis.

Results: The crude prevalence rates (95% CI) of hypertension according to the definitions from the 2017 ACC/AHA guideline and the 2010 Chinese guideline were 58.0% (57.2 to 58.9%) and 25.4% (24.7 to 26.2%), respectively. Moreover, the percentage of the participants recommended to take antihypertensive medications were 31.5 and 28.8%, respectively. Among adults who took antihypertensive medications, 88.8% had above-goal BP levels compared to 53.3%. Overall, 613.3 million Chinese adults (aged ≥18 years) met the criteria for hypertension according to the 2017 ACC/AHA guideline, and 267.7 million met the criteria according to 2010 Chinese guideline. An additional 28.4 million (2.7%) Chinese adults were recommended to take antihypertensive medication.

Conclusions: The present analysis revealed that the 2017 ACC/AHA hypertension guideline will result in a substantial increase in the percentage and number of Chinese adults defined as having hypertension and a small increase in the percentage of adults who are recommended to take antihypertensive medications compared to the same parameters based on the 2010 Chinese guideline. More intensive management and antihypertensive medications use are suggested to improve the control rate of hypertension among Chinese adults.

Keywords: Antihypertensive medications; Guideline; Hypertension; Prevalence.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Prevalence of hypertension, recommendation for pharmacologic antihypertensive treatment, and blood pressure above goal among Chinese adults according to the 2017 ACC/AHA Guideline and the 2010 China Hypertension Guideline
Fig. 2
Fig. 2
Numbers of hypertension, recommendation for pharmacologic antihypertensive treatment, and blood pressure above goal among Chinese adults according to the 2017 ACC/AHA Guideline and the 2010 China Hypertension Guideline
See this image and copyright information in PMC

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