The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2009)

Toshio OGIHARA, Kenjiro KIKUCHI, Hiroaki MATSUOKA, Toshiro FUJITA, Jitsuo HIGAKI, Masatsugu HORIUCHI, Yutaka IMAI, Tsutomu IMAIZUMI, Sadayoshi ITO, Hiroshi IWAO, Kazuomi KARIO, Yuhei KAWANO, Shokei KIM-MITSUYAMA, Genjiro KIMURA, Hiroaki MATSUBARA, Hideo MATSUURA, Mitsuhide NARUSE, Ikuo SAITO, Kazuyuki SHIMADA, Kazuaki SHIMAMOTO, Hiromichi SUZUKI, Shuichi TAKISHITA, Norio TANAHASHI, Takuya TSUCHIHASHI, Makoto UCHIYAMA, Shinichiro UEDA, Hirotsugu UESHIMA, Satoshi UMEMURA, Toshihiko ISHIMITSU, Hiromi RAKUGI, on behalf of The Japanese Society of Hypertension Committee for Guidelines for the Management of Hypertension

Citation Information We recommend that any citations to information in the Guidelines are presented in the following format:

The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2009). Hypertens Res 2009; 32:3–107.

The full list of authors is as stated above. Hypertension Research (2009) 32, 4–5 & 2009 The Japanese Society of Hypertension All rights reserved 0916-9636/09 $32.00 www.nature.com/hr

The Japanese Society of Hypertension Committee for Guidelines for the Management of Hypertension

CHAIRPERSON VICE-CHAIRPERSON Toshio OGIHARA ( University) Kenjiro KIKUCHI (Asahikawa Medical College)

WRITING MEMBERS Toshiro FUJITA (University of ) Hideo MATSUURA (Saiseikai Kure Hospital) Jitsuo HIGAKI (Ehime University) Mitsuhide NARUSE (NHO Medical Center) Masatsugu HORIUCHI (Ehime University) Hiromi RAKUGI () Yutaka IMAI () Ikuo SAITO () Tsutomu IMAIZUMI () Kazuyuki SHIMADA (Jichi Medical University) Toshihiko ISHIMITSU (Dokkyo Medical University) Kazuaki SHIMAMOTO (Sapporo Medical University) Sadayoshi ITO (Tohoku University) Hiromichi SUZUKI (Saitama Medical University) Hiroshi IWAO () Shuichi TAKISHITA (University of the Ryukyus) Kazuomi KARIO (Jichi Medical University) Norio TANAHASHI (Saitama Medical University) Yuhei KAWANO (National Cardiovascular Center) Takuya TSUCHIHASHI (NHO Kyushu Medical Center) Shokei KIM-MITSUYAMA ( University) Makoto UCHIYAMA ( University) Genjiro KIMURA (Nagoya City University) Shinichiro UEDA (University of the Ryukyus) Hiroaki MATSUBARA (Kyoto Prefectural University of Medicine) Hirotsugu UESHIMA ( of Medical Science) Hiroaki MATSUOKA (Dokkyo Medical University) Satoshi UMEMURA ( City University)

LIAISON MEMBERS Ichiro HISATOME ( University) Japanese Society of Gout and Tetsuo NISHIKAWA (Yokohama Rosai Hospital) Endocrine Nucleic Acid Metabolism Society Shigehiro KATAYAMA (Saitama Medical University) Japan Diabetes Yasuyoshi OUCHI () Japan Geriatrics Society Society Tamio TERAMOTO () Japan Atherosclerosis Society Toru KITA ( City Medical Center General Hospital) Japanese Shinichiro UEDA (University of the Ryukyus) Japanese Society Circulation Society of Clinical Pharmacology and Therapeutics Masayasu MATSUMOTO () Japan Stroke Mineo YAMASAKI () Japan Society for the Study Society of Hypertension in Pregnancy Kazuwa NAKAO () Japan Society for the Study Hitoshi YOKOYAMA (Kanazawa Medical University) Japanese of Obesity Society of Nephrology

DOCUMENT REVIEWERS Isao ABE (Japan Seamen’s Relief Association Moji Hospital) Kunitoshi ISEKI (University of the Ryukyus) Katsuyuki ANDO (University of Tokyo) Hiroyasu ISO (Osaka University) Mikio ARITA (Wakayama Medical University) Masaaki ITO (Mie University) Yoshinori DOI (Kochi University) Takayuki ITO (Aichi Medical University) Fumitake GEJYO () Hiroshi ITOH (Keio University) Atsuo GOTO (Japanese Red Cross Medical Center) Hisashi KAI (Kurume University) Naoyuki HASEBE (Asahikawa Medical College) Kei KAMIDE (Osaka University) Koichi HAYASHI (Keio University) Naoki KASHIHARA (Kawasaki ) Yasunobu HIRATA (University of Tokyo) Atsunori KASHIWAGI (Shiga University of Medical Science) Yukio HIRATA (Tokyo Medical & Dental University) Tomohiro KATSUYA (Osaka University) Nobuhito HIRAWA () Toru KIKUCHI (Niigata University) Yoshitaka HIROOKA () Kenjiro KIMURA (St Marianna University School of Medicine) Takeshi HORIO (National Cardiovascular Center) Kazuo KITAMURA () Committee members 5

Yutaka KIYOHARA (Kyushu University) Hakuo TAKAHASHI (Kansai Medical University) Shotai KOBAYASHI () Shori TAKAHASHI () Katsuhiko KOHARA (Ehime University) Kenji TAKAZAWA () Masakazu KOHNO (Kagawa University) Kouichi TAMURA (Yokohama City University) Issei KOMURO () Osamu TOCHIKUBO (Yokohama City University) Hiroo KUMAGAI (National Defense Medical College) Yasuhiko TOMINO (Juntendo University) Toshio KUSHIRO (Nihon University) Kimio TOMITA () Iwao KUWAJIMA (Tokyo Metropolitan Geriatric Hospital) Yoshiharu TSUBAKIHARA (Osaka General Medical Center) Hirofumi MAKINO ( University) Hiroyuki TSUTSUI () Masunori MATSUZAKI () Shinichiro UCHIYAMA (Tokyo Women’s Medical University) Junichi MINAMI (Dokkyo Medical University) Yoshio UEHARA (University of Tokyo) Isamu MIYAMORI (University of Fukui) Nobuyuki URA (Teine Keijinkai Hospital) Shigeto MORIMOTO (Kanazawa Medical University) Hidenori URATA ( University Chikushi Hospital) Toyoaki MUROHARA () Tsuyoshi WATANABE (Fukushima Medical University) Koichi NODE () Hiroyuki YAMADA (Kyoto Prefectural University of Medicine) Hisao OGAWA (Kumamoto University) Akira YAMASHINA (Tokyo Medical University) Yusuke OHYA (University of the Ryukyus) Minoru YASUJIMA (Hirosaki University) Yoshihiko SAITO (Nara Medical University) Michihiro YOSHIMURA (Jikei University)

ADVISORY MEMBERS Kikuo ARAKAWA () Teruo OMAE (National Cardiovascular Center) Yoshihiro KANEKO (Yokohama City University) Kaoru YOSHINAGA (Tohoku University)

ASSESSMENT MEMBERS Keishi ABE (Tohoku University) Masao IINUMA (Japan Medical Association) Tanenao ETO (University of Miyazaki) Masao ISHII (Yokohama City University) Koshiro FUKIYAMA (University of the Ryukyus) Takao SARUTA (Keio University) Toshihiko HASEGAWA () Akira TAKESHITA (Kyushu University) Kunio HIWADA (Ehime University) Yoshiko TSUJIMOTO (Consumer Organization for Medicine & Law) Osamu IIMURA (Sapporo Medical University) Yoshio YAZAKI (National Hospital Organization)

SECRETARIAT MEMBERS Toshihiko ISHIMITSU (Dokkyo Medical University) Hiromi RAKUGI (Osaka University)

Hypertension Research