美国新的血压准则将高血压阈值降低到130/80,扩大了诊断范围,并强调早期生活方式的改变。 New U.S. blood pressure guidelines lower hypertension threshold to 130/80, expanding diagnosis and stressing early lifestyle changes.

2025年8月,美国心脏协会和美国心脏病学院更新了高血压准则,降低了诊断门槛,并增加了被归类为高血压的美国人的数量。 In August 2025, the American Heart Association and American College of Cardiology updated hypertension guidelines, lowering the threshold for diagnosis and expanding the number of Americans classified as having high blood pressure. 新标准取消了"高血压前"类别,将心缩值120129毫米或心缩值低于80毫米分类为高,并将高血压定义为130/80毫米或更高. The new criteria eliminate the "prehypertension" category, classifying systolic readings of 120–129 mm Hg or diastolic readings below 80 mm Hg as elevated, and defining hypertension as 130/80 mm Hg or higher. 读数为180/120毫米或以上表示高血压危机. A reading of 180/120 mm Hg or above signals a hypertensive crisis. 这些变化旨在使早期干预能够降低心脏病、中风和认知下降的风险。 The changes aim to enable earlier intervention to reduce risks of heart disease, stroke, and cognitive decline. 目前,只有大约25%的受影响个人的状况得到控制。 Only about 25% of affected individuals currently have their condition under control. 该准则强调通过改变生活方式来预防,包括将每天的盐量限制在2,300毫克以下、减少酒精、遵循丹麦食品和卫生署的饮食、定期锻炼、应对压力和避免吸烟。 The guidelines stress prevention through lifestyle changes, including limiting salt to under 2,300 mg daily, reducing alcohol, following the DASH diet, exercising regularly, managing stress, and avoiding smoking. 建议采用个性化风险评估工具来指导治疗决定。 Personalized risk assessment tools are recommended to guide treatment decisions.