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Management of hypertension : ウィキペディア英語版
Management of hypertension
Hypertension is managed using lifestyle modification and antihypertensive medications. Hypertension is usually treated to achieve a blood pressure of below 140/90 mmHg to 160/100 mmHg. According to one 2003 review, reduction of the blood pressure by 5 mmHg can decrease the risk of stroke by 34%, of ischaemic heart disease by 21%, and reduce the likelihood of dementia, heart failure, and mortality from cardiovascular disease.
== Blood pressure target ==
For most people, recommendations are to reduce blood pressure to less than or equal to somewhere between 140/90 mmHg to 160/100 mmHg.〔〔 Attempting to achieve lower levels have not been shown to improve outcomes while there is evidence that it increases side effects. In those with diabetes or kidney disease some recommend levels below 120/80 mmHg;〔 however, evidence does not support these lower levels.〔
The benefit of medications is related to a person's cardiac disease risk. Evidence for medications in those with mild hypertension (between 140/90 mmHg and 160/100 mmHg) and no other health problems is less clear with some reviews finding no benefit and other reviews finding benefit. A 2012 Cochrane review found medications for mild hypertension did not reduce the risk of death, stroke, or cardiovascular disease, but did cause side effects in 1 of every 12 people.〔〔 A second review that looked at higher risk people (mostly diabetics whose blood pressure was difficult to control) found the medication prevented a stroke for 1 in every 223 and death for 1 in every 110 who took them.〔 If there are benefits to treating people with mild hypertension they appear to occur primarily among those at highest risk, though all groups experience side effects at a similar rate (1 in 12). Medications are not recommended for people with prehypertension or high normal blood pressure.
If the blood pressure goal is not met, a change in treatment should be made as therapeutic inertia is a clear impediment to blood pressure control.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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