[The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2004)]

Abstract

The essence of Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2000) was introduced. JSH 2004 is a revised edition of JSH 2000. In JSH 2004, the significance of lifestyle modification is also emphasized as the basic treatment of hypertension, in which salt intake per day is reduced to below 6g/day. In drug therapy, Ca channel blockers, AII receptor blockers, ACE inhibitors, diuretics, beta -blockers and alpha-blockers are recommended as the main anti-hypertensive drugs. To obtain target blood pressure, a combined therapy of those drugs is recommended. In the management of aged hypertensive patients over 65, target blood pressure is generally below 140/90mmHg, but in those over 75, transient target blood pressure is below 150/90 mmHg, if hypertension is moderate or severe.