![]() The 2018 European Society of Cardiology/European Society of Hypertension (ESC/ESH) Guidelines kept the hypertension thresholds as 140/90 mmHg, and kept the optimal, normal, and high-normal subcategory of non-hypertensive range unchanged (Fig. Nevertheless, the revised thresholds have not become dominant worldwide. Although various discussion is still in dispute, one cannot overlook the enormity of the revised threshold by the united 11 authorities, even aimed at a patient outside the US. The primary evidence came from the Systolic Blood Pressure Intervention Trial (SPRINT), and the recent Strategy of Blood Pressure Intervention in the Elderly Hypertensive Patients (STEP) Chinese trial supported the rationale of this threshold. The 2017 American College of Cardiology/American Heart Association (ACC/AHA) Guidelines impacted clinical practice because it proposes to reduce the criteria for diagnosis of hypertension from 140/90 mmHg or more, which other major guidelines have followed, to ≥130/≥80 mmHg (Fig.
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