How to prevent and treat hypertension in China

  1, the prevalence of hypertension in China’s population is still growing, with one in five adults suffering from hypertension; it is estimated that there are at least 200 million hypertensive patients nationwide; however, the awareness rate, treatment rate and control rate of hypertension are low.  2, hypertension is the main risk factor for stroke and coronary heart disease morbidity and mortality in our population. Control of hypertension can curb the growth of cardiovascular and cerebrovascular disease morbidity and mortality.  3, China is a high incidence of stroke. The main complication of hypertension is stroke, and controlling hypertension is the key to stroke prevention.  4. Antihypertensive treatment should bring blood pressure up to standard with a view to reducing the total risk of morbidity and mortality from cardiovascular and cerebrovascular diseases. The general hypertensive patients to lower the blood pressure target is 140/90mmHg or less; in tolerable cases can be further reduced.  5. Calcium antagonists, angiotensin-converting enzyme inhibitors, angiotensin II receptor antagonists, thiazide diuretics, receptor blockers, and small fixed combinations of these drugs can be used as the drug of choice for initial or maintenance treatment of hypertension. Combination therapy is beneficial to achieve blood pressure standards.  6, hypertension is a “cardiovascular syndrome”. Treatment should be determined by the overall cardiovascular risk. Attention should be paid to the comprehensive intervention of multiple cardiovascular risk factors.  7, hypertension is a “lifestyle disease”, serious changes in poor lifestyle, salt and alcohol restriction, weight control, is conducive to the prevention and control of hypertension.  8, pay attention to children and adolescents hypertension, prevention gate-shift; pay attention to the screening and treatment of secondary hypertension.  9, strengthen the community prevention and treatment of hypertension, regular blood pressure measurement, standardized management, rational use of drugs, is to improve the awareness rate, treatment rate and control rate of hypertension in our population is fundamental.