Clinical practice guidelines (CPGs) are well suited to the management of high blood pressure (BP) because it is a condition that is common, costly for patients and society,exhibitsconsiderablevariationinpracticepatternsand hypertension control rates by geographic region and socioeconomic status, and has a substantial body of scientific evidence available to support recommendations.1 BPrelated CPGs have long been a part of routine clinical practice, beginning with the 1977 Report of the Joint National Committee (JNC) on Detection, Evaluation, and Treatment of High Blood Pressure.2 The 1977 committee members, appointed by the National Heart, Lung, and Blood Institute (NHLBI), included representatives from major professional societies, the Veterans Administration, and the US Public Health Service. They produced a consensus document that resulted in 6 principal recommendations, including use of a stepped-care approach for antihypertensive therapy in virtually all adults with a diastolic BP (DBP) of 105 mm Hg or greater. An individualized approach to treatment, considering other cardiovascular disease (CVD) risk factors, was recommended for patients with

中文翻译：

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2017 年高血压临床实践指南

他们制定了一份共识文件，其中提出了 6 项主要建议，包括对几乎所有舒张压 (DBP) 为 105 mmHg 或更高的成年人使用阶梯式护理方法进行降压治疗。考虑到其他心血管疾病 (CVD) 风险因素，建议对患有以下疾病的患者采取个体化的治疗方法