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<p>Hypertension is the greatest risk factor for cardiovascular diseases and significantly contributes to cardiovascular mortality. In Japan, the hypertensive population is estimated at 43 million, with only 27% achieving well-controlled blood pressure (BP). The onset of major cardiovascular events, including stroke, myocardial infarction, heart failure, and aortic dissection, frequently occurs during the early morning hours. Accordingly, for over 20 years, the Japanese Society of Hypertension (JSH) has prioritized the management of early morning hypertension and has emphasized the importance of antihypertensive treatment guided by home BP in its treatment guidelines. However, even among hypertensive patients with multiple medications, control of morning BP remains suboptimal, with fewer than 30% achieving target levels below 130/80 mmHg. To address this serious situation, JSH announced their Declaration for the Eradication of Morning Hypertension in 2025, in conjunction with the release of the <i>Guidelines for the Management of Elevated Blood Pressure and Hypertension 2025</i>. The primary specific measure of the declaration involves the <i>Asakatsu BP Action Plan</i> – the <i>Morning Blood Pressure 130 Campaign</i> – which encourages individuals to monitor their morning blood pressure (BP) in various settings, such as homes, workplaces, and BP kiosks set up in public spaces. Additionally, JSH is promoting a Systematic Review Project to raise awareness of the importance of early morning hypertension management nationally and internationally, and a Data Science Project to examine how digital technology can contribute to the promotion of personalized and anticipation medicine through “digital hypertension” research.</p><p></p>

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The JSH Morning Hypertension Eradication Program Project

  • 期刊论文

  • 发表日期：

    2025年8月26日

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  • Kazuomi Kario,
  • Akira Nishiyama,
  • Shigeru Shibata,
  • Masaki Mogi,
  • Hisatomi Arima,
  • Takuya Kishi,
  • Mari Ishida,
  • Masato Furuhashi,
  • Atsuhiro Ichihara,
  • Tomohiro Katsuya,
  • Katsuyuki Miura,
  • Shin-ichiro Miura,
  • Mitsuru Ohishi,
  • Hirotaka Shibata,
  • Tatsuo Shimosawa,
  • Akira Sugawara,
  • Kouichi Tamura,
  • Kazunori Toyoda,
  • Koichi Yamamoto,
  • Satoshi Hoshide,
  • Naoki Nakagawa,
  • Hirofumi Tomita,
  • Atsushi Tanaka,
  • Atsushi Hozawa,
  • Tsuguru Hatta,
  • Akihiro Nomura,
  • Mai Kabayama,
  • Hiromi Rakugi,
  • Yusuke Ohya,
  • Koichi Node,
  • Hirofumi Tomita,
  • Tatsuo Shimosawa,
  • Hisashi Kai,
  • Kimika Arakawa,
  • Wakako Kawarazaki,
  • Tomonori Okamura,
  • Yukari Takemi,
  • Hidehiro Kaneko,
  • Keisuke Shinohara,
  • Nobuhito Hirawa,
  • Atsushi Sakima,
  • Takayoshi Ohkubo,
  • Kei Asayama,
  • Naoko Tomitani

摘要

Hypertension is the greatest risk factor for cardiovascular diseases and significantly contributes to cardiovascular mortality. In Japan, the hypertensive population is estimated at 43 million, with only 27% achieving well-controlled blood pressure (BP). The onset of major cardiovascular events, including stroke, myocardial infarction, heart failure, and aortic dissection, frequently occurs during the early morning hours. Accordingly, for over 20 years, the Japanese Society of Hypertension (JSH) has prioritized the management of early morning hypertension and has emphasized the importance of antihypertensive treatment guided by home BP in its treatment guidelines. However, even among hypertensive patients with multiple medications, control of morning BP remains suboptimal, with fewer than 30% achieving target levels below 130/80 mmHg. To address this serious situation, JSH announced their Declaration for the Eradication of Morning Hypertension in 2025, in conjunction with the release of the Guidelines for the Management of Elevated Blood Pressure and Hypertension 2025. The primary specific measure of the declaration involves the Asakatsu BP Action Plan – the Morning Blood Pressure 130 Campaign – which encourages individuals to monitor their morning blood pressure (BP) in various settings, such as homes, workplaces, and BP kiosks set up in public spaces. Additionally, JSH is promoting a Systematic Review Project to raise awareness of the importance of early morning hypertension management nationally and internationally, and a Data Science Project to examine how digital technology can contribute to the promotion of personalized and anticipation medicine through “digital hypertension” research.