reverse! The new guidelines lowered the diagnostic criteria for hypertension to 130/80, which was urgently stopped by the National Health Commission
The recent Rashomon incident was staged in the medical world. First, the big news about high blood pressure was released. The "Clinical Practice Guidelines for Hypertension in China" jointly formulated by the Angiology Branch and other institutions was released !
These institutions have a high academic status in the industry, so the new version of the guide can be described as very authoritative. The biggest change in the new guideline is that it has made major adjustments to the diagnostic cut - off value of hypertension and blood pressure targets for different groups of people. 80mmHg!
For a while, this conclusion spread like wildfire on the Internet, and everyone forwarded it one after another. According to the diagnostic criteria for hypertension in the new guidelines, there will be nearly 500 million people with high blood pressure in China. The critical blood pressure of the author was between 130-140mmHg, and it became high blood pressure overnight, which is unacceptable. However, soon, the National Health and Medical Commission issued an authoritative announcement stating that China's diagnostic criteria for hypertension have never changed . Why is there such a reversal?
Reasons for lowering the diagnostic criteria in the new guidelines
1. Keep up with international advanced concepts
The writing experts pointed out: "As a country with high blood pressure + cardiovascular disease and stroke, it should be based on the reality of clinical practice and focus on patients. Cardiovascular disease needs to be prevented first, combined with prevention and treatment. It is imperative and urgent to move forward. "
Elevated blood pressure can lead to cardiovascular disease and is also an important risk factor for cardiovascular death. More and more evidence supports that lifestyle or drug treatment can benefit patients who can tolerate 130/80 mmHg or less. As early as 2017, the United States' hypertension-related guidelines have proposed to reduce the diagnostic standard of hypertension to 130/80mmHg. Therefore, the new guidelines believe that it is urgent to adjust the diagnostic criteria of hypertension to 130/80mmHg.
2. To remind everyone to pay attention to blood pressure as soon as possible
Many hypertensive patients are asymptomatic before cardiovascular and cerebrovascular accidents. Many of them don't have the habit of physical examination, or they don't care when their blood pressure is found to be around 130/80mmHg by accident, but they don't know that they gradually develop into high blood pressure after a long time. Therefore, the new guideline aims to remind everyone that when the blood pressure reaches 130/80mmHg, you need to start paying attention!
3. Intervene early
High blood pressure will cause damage to important organs such as the heart, brain, kidneys, and blood vessels. In fact, it is not necessary to wait until the blood pressure is ≥140/90mmHg to intervene. Therefore, the new guidelines are also conveying a concept, that is, for high blood pressure The sooner blood pressure is intervened the better.
Of course, this is not to tell everyone that you must take antihypertensive drugs when your blood pressure reaches 130/80mmHg. Lifestyle intervention is also one of the important means to control blood pressure. Therefore, people with bad living habits need to correct bad living habits in time, such as quitting smoking, avoiding staying up late, increasing exercise, controlling sodium intake, etc.
Why was the new standard for high blood pressure stopped urgently by the National Health and Medical Commission?
It is estimated that many people have believed in the change of the diagnostic criteria for hypertension in the past two days, but they were still urgently stopped by the National Health Commission. The reason is that the country has standardized procedural requirements for the formulation and issuance of diagnostic criteria for hypertension and other diseases, and the new guidelines can only be used as a reference standard for the prevention and treatment of hypertension in the pharmaceutical industry, and cannot yet change the national diagnostic criteria for diseases. In terms of the concept of prevention and early intervention of hypertension, I believe that the National Health Commission and the experts involved in formulating the guidelines are consistent.
Experts in the cardiovascular field also raised objections to the new standards: First, the current control rate of blood pressure in China is only about 15%, and less than 6% in rural areas. If the diagnostic criteria are lowered, the control rate of high blood pressure may drop sharply. Second, after the decline in the diagnostic standard of hypertension, the streets will be full of hypertensive patients overnight, which will lead to the possibility that China's medical insurance funds will be stretched, because a large part of the medical insurance funds for chronic diseases is currently used for vaccines, nucleic acid testing and other anti-inflammatory drugs. epidemic project.
In short, hypertension standards involve multiple fields such as a country's medical care and economy, and require communication and negotiation. They cannot simply be praised or denied. Undoubtedly, this reversal of the new standard of hypertension is actually beneficial to the general public in essence, because after this incident, the diagnosis and prevention of hypertension have become more popular among the general public, which has also improved virtually. Chinese people have a high awareness rate of hypertension, so this oolong incident is not a bad thing in turn!