Is hypertension the leading cause of coronary heart disease in Chinese people? The importance of balanced blood pressure control.

2026-01-20

Active Prevention of Coronary Heart Disease: A recent study published by Chinese and American scientists indicates that the leading risk factor for coronary heart disease in Chinese people is not elevated serum total cholesterol, but rather hypertension.

For many years, the medical community both domestically and internationally believed that the leading risk factor for coronary heart disease in Chinese people, like in Westerners, was elevated serum total cholesterol. However, nearly two decades of epidemiological research on cardiovascular and cardiopulmonary diseases in China and the United States has completely overturned this traditional view. Medical experts have confirmed that the most significant factor contributing to coronary heart disease in Chinese people is hypertension, followed by smoking and elevated serum cholesterol.

This research provides a reliable basis for the Ministry of Health to formulate national strategies for the prevention and control of cardiovascular and cerebrovascular diseases. The Ministry of Health has decided to adjust the hypertension standard from 95/160 mmHg (diastolic/systolic) to 90/140 mmHg (diastolic/systolic). The aim is to raise awareness of the importance of early treatment of hypertension and reduce the incidence of cardiovascular and cerebrovascular diseases.

Balanced Blood Pressure Management: Uncontrolled hypertension can lead to dangerous conditions such as stroke, coronary heart disease, myocardial infarction, and kidney failure; conversely, poor control leading to large fluctuations in blood pressure can also cause these dangers. Studies have shown that due to impaired self-regulation in hypertensive patients, both sharp drops and rises in blood pressure can be unbearable, leading to insufficient blood supply to the brain, hypoxia, and symptoms such as dizziness and headaches. Furthermore, modern medicine has confirmed that the morning wake-up time is a peak period for cardiovascular events in hypertensive patients. Poor blood pressure control during this period, resulting in significant fluctuations, greatly increases the risk of stroke and other diseases, and in severe cases, even death.

Therefore, balanced blood pressure reduction, allowing blood pressure to decrease slowly and maintaining stable blood pressure throughout the 24 hours of the day, is extremely important.

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