(1999 10 ) 1999 WHO/ISH ) 1959 1999 2 WHO/ISH 140mmHg / 90mmHg WHO/ISH 1 140mmHg<90mmHg 140 149mmHg <90mmHg WHO/ISH 1999WHO/ISH 18 1 1 WHO/ISH SBPmmHg SBPmmHg <120 <80 <130 <85
130~139 85~89 1 140~159 90~99 140~149 90~94 2 160~179 100~109 3 180 110 140 <90 140~149 <90 140/90mmHg WHO/ISH 10 2 2 (1 3 ) >55 >65 >5.72mmol/L
(220mg/dl) ( <55 <65 ) ( X ) ( ) 106 177mmol/L(1.2 2.0mg/dl)
X ( ) (TIA) ( > 177mmol/L 2.0mg/dl)
<55 <65 1 10 <15 2 1 2 1 2 10 1520 1 10 15 1 2 3 3 10 2030 3 1 TOD 1 3 10 30 (<130/85mmHg)(140/90mmHg) 10 15mmHg 5 10mmHg
1. (BMI kg/m 2 ) 24 5 2. WHO 6g 80 15 20 SBP DBP 20 30g 10 15g 3. 180( 170) 6085 3 5 20 60
4. 5. BMI 20 24 8g 6g 6g < 30<10 400 500g 100g 50 100g 50g 3 4 250g 20 25g <20 30g <15 20g 1. 2. 24 24 >50 24 50 3.
(ACEI) b- ~ >3mg/dl a-
1. (hydrochlorothizide)12.5mg 1 2 (indapamide)1.25 2.5mg 1 (furosemide) 2. (>80 / ) (metoprolol)50mg 1 2 (atenolol)25mg 1 2(bisoprolol)2.5 5mg 1 (betaxolol)5 10mg 1 3. 5 10mg 1 (nifedipine) 30mg 1 (amlodipine)5 10mg 1 (lacidipine)4 6mg 1 (verapamil) 120 240mg 1 10mg 2 3 4.(ACEI) ( >265 mol/l 3mg/dL) (captopril)12.5 25mg 2 3 (enalapril)10 20mg 1 2(perindopril)4 8mg 1 (cilazapril)2.5 5mg 1 (benazepril)10 20mg 1 (ramipril)2.5 5mg 1 (lisinopril)20 40mg 1
5. (AT1) 100mg 1 (valsartan)80 160mg 1 ACEI ACEI 1.ACEI( ) 2. 3.ACEI 4. 5. 0 1. 2. ( )
ACEI 1 6 ; 6 )