[Management of high-risk hypertensive patients for prevention from cardiovascular events].

Hypertension is the one of the strongest predictors of cardiovascular events. Before the treatment of hypertension, the overall evaluation of cardiovascular risks in individual patients should be performed. For the evaluation, factors related to diabetes mellitus, metabolic syndrome, chronic kidney disease, cardiac complications, and hypertensive target organ damage are evaluated in addition to blood pressure to distinguish high-risk groups. Especially, diabetes mellitus, chronic kidney disease and cardiac complications including coronary heart disease, congestive heart failure, and left ventricular hypertrophy are high-risk factors. Moreover, these high-risk hypertensive patients should be strictly controlled their blood pressure by adequate anti-hypertensive agents.