配色

血壓(收縮壓 SBP/舒張壓 DBP)

同一個 130/80,國健署頁面上沒有叫它高血壓

血壓是血液由心臟送出時在動脈血管內產生的壓力,前面是收縮壓、後面是舒張壓,單位 mmHg。國健署主題頁把 130/80 mmHg 當成「該與醫師討論治療」的分界,沒有給定義;把 ≥130/80 mmHg 訂成定義的,是 2022 台灣高血壓指引。

130/80 在一份文件裡是行動分界,在另一份裡是定義

同一個數字,不同機構的門檻不一樣,以下並列,不選邊。收縮壓與舒張壓各自成列,判準值欄先標明那一列是定義、分級,還是篩檢分流。

共 64 列,分 10 組;點組名可展開或收合。

收縮壓|診斷(4 列)
機構判準值族群依據文件與版本(含頁碼或表號)
心臟學會/高血壓學會診斷:≥130 mmHg成人(一般)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Abstract
心臟學會/高血壓學會診斷:≥130 mmHg成人《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2 Recommendations/Keypoints
心臟學會/高血壓學會診斷:≥130 mmHg有做中央血壓(central BP)量測者《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3 Recommendations/Keypoints
NHLBI診斷:≥130 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表上方本文
收縮壓|篩檢分流(非診斷判準)(4 列)
機構判準值族群依據文件與版本(含頁碼或表號)
國健署篩檢分流(非診斷判準):<120 mmHg18歲以上民眾《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 1 點
國健署篩檢分流(非診斷判準):120–130 mmHg18歲以上民眾《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 2 點
國健署篩檢分流(非診斷判準):>130 mmHg18歲以上民眾《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 3 點
衛福部篩檢分流(非診斷判準):>130 mmHg18歲以上民眾《沉默殺手:高血壓相關疾病為我國重大死因 722是管理血壓好幫手》112-05-15,新聞稿本文「控制血壓的關鍵 居家血壓量測『722』」段
收縮壓|分級(22 列)
機構判準值族群依據文件與版本(含頁碼或表號)
心臟學會/高血壓學會分級:<120 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
心臟學會/高血壓學會分級:120–129 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
心臟學會/高血壓學會分級:130–139 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
心臟學會/高血壓學會分級:≥140 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
NHLBI分級:<120 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:120–129 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:130–139 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:≥140 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:>180 mm Hg來源未標示《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
MedlinePlus分級:<120 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:120–129 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:130–139 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:≥140 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:>180 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
ACC/AHA分級:<120 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
ACC/AHA分級:120–129 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
ACC/AHA分級:130–139 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
ACC/AHA分級:≥140 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
AHA/ACC分級:<120 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
AHA/ACC分級:120–129 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
AHA/ACC分級:130–139 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
AHA/ACC分級:≥140 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
收縮壓|風險門檻(1 列)
機構判準值族群依據文件與版本(含頁碼或表號)
國健署風險門檻:≧130 mmHg來源未標示《代謝症候群》頁面更新日 2026/08/28(資料來源標「代謝症候群學習手冊」105年版),代謝症候群主題頁 判定標準第 (2) 項
收縮壓|未訂判準(1 列)
機構判準值族群依據文件與版本(含頁碼或表號)
WHO未訂判準(原文未給數值區間)來源未標示《Guideline for the pharmacological treatment of hypertension in adults》2021-08-25,§1 Introduction/Scope
舒張壓|診斷(4 列)
機構判準值族群依據文件與版本(含頁碼或表號)
心臟學會/高血壓學會診斷:≥80 mmHg成人(一般)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Abstract
心臟學會/高血壓學會診斷:≥80 mmHg成人《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2 Recommendations/Keypoints
心臟學會/高血壓學會診斷:≥80 mmHg有做中央血壓(central BP)量測者《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3 Recommendations/Keypoints
NHLBI診斷:≥80 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表上方本文
舒張壓|篩檢分流(非診斷判準)(4 列)
機構判準值族群依據文件與版本(含頁碼或表號)
國健署篩檢分流(非診斷判準):<80 mmHg18歲以上民眾《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 1 點
國健署篩檢分流(非診斷判準):80 mmHg18歲以上民眾《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 2 點
國健署篩檢分流(非診斷判準):>80 mmHg18歲以上民眾《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 3 點
衛福部篩檢分流(非診斷判準):>80 mmHg18歲以上民眾《沉默殺手:高血壓相關疾病為我國重大死因 722是管理血壓好幫手》112-05-15,新聞稿本文「控制血壓的關鍵 居家血壓量測『722』」段
舒張壓|分級(22 列)
機構判準值族群依據文件與版本(含頁碼或表號)
心臟學會/高血壓學會分級:<80 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
心臟學會/高血壓學會分級:<80 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
心臟學會/高血壓學會分級:80–89 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
心臟學會/高血壓學會分級:≥90 mmHg成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension
NHLBI分級:<80 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:<80 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:80–89 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:≥90 mm Hg成人《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
NHLBI分級:>120 mm Hg來源未標示《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表
MedlinePlus分級:<80 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:<80 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:80–89 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:≥90 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
MedlinePlus分級:>120 mm Hg來源未標示《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表
ACC/AHA分級:<80 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
ACC/AHA分級:<80 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
ACC/AHA分級:80–89 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
ACC/AHA分級:≥90 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,Table 6. Categories of BP in Adults(已被 AHA/ACC 2025 取代)
AHA/ACC分級:<80 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
AHA/ACC分級:<80 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
AHA/ACC分級:80–89 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
AHA/ACC分級:≥90 mm Hg成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults
舒張壓|風險門檻(1 列)
機構判準值族群依據文件與版本(含頁碼或表號)
國健署風險門檻:≧85 mmHg來源未標示《代謝症候群》頁面更新日 2026/08/28(資料來源標「代謝症候群學習手冊」105年版),代謝症候群主題頁 判定標準第 (2) 項
舒張壓|未訂判準(1 列)
機構判準值族群依據文件與版本(含頁碼或表號)
WHO未訂判準(原文未給數值區間)來源未標示《Guideline for the pharmacological treatment of hypertension in adults》2021-08-25,§1 Introduction/Scope

表上舒張壓 85 mmHg 的那兩列來自代謝症候群的組成因子,與高血壓的分級是兩套判準;WHO 2021 年那份指引明文不處理高血壓的診斷,在表上是「未訂判準」。

收縮壓(mmHg)
國健署心臟學會/高血壓學會WHONHLBIMedlinePlus衛福部AHA/ACC淡色帶=分級/風險門檻虛線框=篩檢分流(非診斷判準)130 mmHg 參考線
130 mmHg 國健署國健署|篩檢分流(非診斷判準):<120 mmHg|族群:18歲以上民眾|依據:《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 1 點<120 mmHg國健署|篩檢分流(非診斷判準):120–130 mmHg|族群:18歲以上民眾|依據:《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 2 點120–130 mmHg國健署|篩檢分流(非診斷判準):>130 mmHg|族群:18歲以上民眾|依據:《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 3 點>130 mmHg國健署|風險門檻:≧130 mmHg|族群:來源未標示|依據:《代謝症候群》頁面更新日 2026/08/28(資料來源標「代謝症候群學習手冊」105年版),代謝症候群主題頁 判定標準第 (2) 項≧130 mmHg心臟學會/高血壓學會心臟學會/高血壓學會|診斷:≥130 mmHg|族群:成人(一般)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Abstract≥130 mmHg心臟學會/高血壓學會|診斷:≥130 mmHg|族群:成人|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2 Recommendations/Keypoints≥130 mmHg心臟學會/高血壓學會|分級:<120 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension<120 mmHg心臟學會/高血壓學會|分級:120–129 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension120–129 mmHg心臟學會/高血壓學會|分級:130–139 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension130–139 mmHg心臟學會/高血壓學會|分級:≥140 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension≥140 mmHg心臟學會/高血壓學會|診斷:≥130 mmHg|族群:有做中央血壓(central BP)量測者|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3 Recommendations/Keypoints≥130 mmHgWHOWHO|未訂判準(原文未給數值區間)|族群:來源未標示|依據:《Guideline for the pharmacological treatment of hypertension in adults》2021-08-25,§1 Introduction/Scope未訂判準NHLBINHLBI|分級:<120 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表<120 mm HgNHLBI|分級:120–129 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表120–129 mm HgNHLBI|分級:130–139 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表130–139 mm HgNHLBI|分級:≥140 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表≥140 mm HgNHLBI|分級:>180 mm Hg|族群:來源未標示|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表>180 mm HgNHLBI|診斷:≥130 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表上方本文≥130 mm HgMedlinePlusMedlinePlus|分級:<120 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表<120 mm HgMedlinePlus|分級:120–129 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表120–129 mm HgMedlinePlus|分級:130–139 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表130–139 mm HgMedlinePlus|分級:≥140 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表≥140 mm HgMedlinePlus|分級:>180 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表>180 mm Hg衛福部衛福部|篩檢分流(非診斷判準):>130 mmHg|族群:18歲以上民眾|依據:《沉默殺手:高血壓相關疾病為我國重大死因 722是管理血壓好幫手》112-05-15,新聞稿本文「控制血壓的關鍵 居家血壓量測『722』」段>130 mmHgAHA/ACCAHA/ACC|分級:<120 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults<120 mm HgAHA/ACC|分級:120–129 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults120–129 mm HgAHA/ACC|分級:130–139 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults130–139 mm HgAHA/ACC|分級:≥140 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults≥140 mm Hg 100120130140160 收縮壓(mmHg)

依據:data/criteria/blood-pressure.json 第 1 列(hpa-hypertension-topic-page)、第 3 列(hpa-hypertension-topic-page)、第 5 列(hpa-hypertension-topic-page)、第 9 列(ths-tsoc-hypertension-guideline-2022)、第 11 列(ths-tsoc-hypertension-guideline-2022)、第 13 列(ths-tsoc-hypertension-guideline-2022)、第 15 列(ths-tsoc-hypertension-guideline-2022)、第 17 列(ths-tsoc-hypertension-guideline-2022)、第 19 列(ths-tsoc-hypertension-guideline-2022)、第 55 列(ths-tsoc-hypertension-guideline-2022)、第 59 列(who-hypertension-pharmacotherapy-guideline-2021)、第 65 列(nhlbi-high-blood-pressure-page)、第 67 列(nhlbi-high-blood-pressure-page)、第 69 列(nhlbi-high-blood-pressure-page)、第 71 列(nhlbi-high-blood-pressure-page)、第 73 列(nhlbi-high-blood-pressure-page)、第 75 列(nhlbi-high-blood-pressure-page)、第 77 列(medlineplus-high-blood-pressure)、第 79 列(medlineplus-high-blood-pressure)、第 81 列(medlineplus-high-blood-pressure)、第 83 列(medlineplus-high-blood-pressure)、第 85 列(medlineplus-high-blood-pressure)、第 91 列(hpa-metabolic-syndrome-topic-page)、第 101 列(mohw-hypertension-722-press-release-2023)、第 103 列(acc-aha-hypertension-guideline-2017)、第 105 列(acc-aha-hypertension-guideline-2017)、第 107 列(acc-aha-hypertension-guideline-2017)、第 109 列(acc-aha-hypertension-guideline-2017)、第 111 列(aha-acc-hypertension-guideline-2025)、第 113 列(aha-acc-hypertension-guideline-2025)、第 115 列(aha-acc-hypertension-guideline-2025)、第 117 列(aha-acc-hypertension-guideline-2025)。判準值與完整出處見上表。 另有 4 列已被新版取代,不畫在數線上,只列於上表(依據欄標示取代關係)。

舒張壓(mmHg)
國健署心臟學會/高血壓學會WHONHLBIMedlinePlus衛福部AHA/ACC淡色帶=分級/風險門檻虛線框=篩檢分流(非診斷判準)80 mmHg 參考線
80 mmHg 國健署國健署|篩檢分流(非診斷判準):<80 mmHg|族群:18歲以上民眾|依據:《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 1 點<80 mmHg國健署|篩檢分流(非診斷判準):80 mmHg|族群:18歲以上民眾|依據:《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 2 點80 mmHg國健署|篩檢分流(非診斷判準):>80 mmHg|族群:18歲以上民眾|依據:《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文「國民健康署提醒所有民眾應了解自己的血壓值,並注意」第 3 點>80 mmHg國健署|風險門檻:≧85 mmHg|族群:來源未標示|依據:《代謝症候群》頁面更新日 2026/08/28(資料來源標「代謝症候群學習手冊」105年版),代謝症候群主題頁 判定標準第 (2) 項≧85 mmHg心臟學會/高血壓學會心臟學會/高血壓學會|診斷:≥80 mmHg|族群:成人(一般)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Abstract≥80 mmHg心臟學會/高血壓學會|診斷:≥80 mmHg|族群:成人|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2 Recommendations/Keypoints≥80 mmHg心臟學會/高血壓學會|分級:<80 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension<80 mmHg心臟學會/高血壓學會|分級:<80 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension<80 mmHg心臟學會/高血壓學會|分級:80–89 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension80–89 mmHg心臟學會/高血壓學會|分級:≥90 mmHg|族群:成人(依 722 協定量得的家用血壓;無家用血壓時用標準化診間血壓)|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 5. Definition and grading of hypertension≥90 mmHg心臟學會/高血壓學會|診斷:≥80 mmHg|族群:有做中央血壓(central BP)量測者|依據:《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3 Recommendations/Keypoints≥80 mmHgWHOWHO|未訂判準(原文未給數值區間)|族群:來源未標示|依據:《Guideline for the pharmacological treatment of hypertension in adults》2021-08-25,§1 Introduction/Scope未訂判準NHLBINHLBI|分級:<80 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表<80 mm HgNHLBI|分級:<80 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表<80 mm HgNHLBI|分級:80–89 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表80–89 mm HgNHLBI|分級:≥90 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表≥90 mm HgNHLBI|分級:>120 mm Hg|族群:來源未標示|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表>120 mm HgNHLBI|診斷:≥80 mm Hg|族群:成人|依據:《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,Blood pressure levels 表上方本文≥80 mm HgMedlinePlusMedlinePlus|分級:<80 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表<80 mm HgMedlinePlus|分級:<80 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表<80 mm HgMedlinePlus|分級:80–89 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表80–89 mm HgMedlinePlus|分級:≥90 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表≥90 mm HgMedlinePlus|分級:>120 mm Hg|族群:來源未標示|依據:《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22),Blood Pressure Category 表>120 mm Hg衛福部衛福部|篩檢分流(非診斷判準):>80 mmHg|族群:18歲以上民眾|依據:《沉默殺手:高血壓相關疾病為我國重大死因 722是管理血壓好幫手》112-05-15,新聞稿本文「控制血壓的關鍵 居家血壓量測『722』」段>80 mmHgAHA/ACCAHA/ACC|分級:<80 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults<80 mm HgAHA/ACC|分級:<80 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults<80 mm HgAHA/ACC|分級:80–89 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults80–89 mm HgAHA/ACC|分級:≥90 mm Hg|族群:成人(依醫療照護場所測得之診間血壓平均值,≥2 次讀數、≥2 個場次)|依據:《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Table 4. Categories of Blood Pressure in Adults≥90 mm Hg 60808590100 舒張壓(mmHg)

依據:data/criteria/blood-pressure.json 第 2 列(hpa-hypertension-topic-page)、第 4 列(hpa-hypertension-topic-page)、第 6 列(hpa-hypertension-topic-page)、第 10 列(ths-tsoc-hypertension-guideline-2022)、第 12 列(ths-tsoc-hypertension-guideline-2022)、第 14 列(ths-tsoc-hypertension-guideline-2022)、第 16 列(ths-tsoc-hypertension-guideline-2022)、第 18 列(ths-tsoc-hypertension-guideline-2022)、第 20 列(ths-tsoc-hypertension-guideline-2022)、第 56 列(ths-tsoc-hypertension-guideline-2022)、第 60 列(who-hypertension-pharmacotherapy-guideline-2021)、第 66 列(nhlbi-high-blood-pressure-page)、第 68 列(nhlbi-high-blood-pressure-page)、第 70 列(nhlbi-high-blood-pressure-page)、第 72 列(nhlbi-high-blood-pressure-page)、第 74 列(nhlbi-high-blood-pressure-page)、第 76 列(nhlbi-high-blood-pressure-page)、第 78 列(medlineplus-high-blood-pressure)、第 80 列(medlineplus-high-blood-pressure)、第 82 列(medlineplus-high-blood-pressure)、第 84 列(medlineplus-high-blood-pressure)、第 86 列(medlineplus-high-blood-pressure)、第 92 列(hpa-metabolic-syndrome-topic-page)、第 102 列(mohw-hypertension-722-press-release-2023)、第 104 列(acc-aha-hypertension-guideline-2017)、第 106 列(acc-aha-hypertension-guideline-2017)、第 108 列(acc-aha-hypertension-guideline-2017)、第 110 列(acc-aha-hypertension-guideline-2017)、第 112 列(aha-acc-hypertension-guideline-2025)、第 114 列(aha-acc-hypertension-guideline-2025)、第 116 列(aha-acc-hypertension-guideline-2025)、第 118 列(aha-acc-hypertension-guideline-2025)。判準值與完整出處見上表。 另有 4 列已被新版取代,不畫在數線上,只列於上表(依據欄標示取代關係)。

140/90 沒有作廢,它被降成第 2 級

2003 年 JNC 7 把高血壓從 140/90 mmHg 起算。2014 年的 JNC 8 沒有重新定義高血壓與高血壓前期,只訂了用藥門檻。2017 年 ACC/AHA 指引把門檻下修到 130/80 mmHg,第 1 級是收縮壓 130 到 139 或舒張壓 80 到 89 mmHg。2022 年台灣改為 ≥130/80 mmHg,改以家用血壓為診斷基礎,三條切點家用與診間相同,140/90 降成第 2 級。2025 年新版取代 2017 版,分級與 130/80 mmHg 門檻沒有改。

同一個指標,判準被改過幾次、誰改的
NHBPEP(NHLBI)Panel Members Appointed to the Eighth Joint National Committee (JNC 8)ACC/AHAWHO心臟學會/高血壓學會AHA/ACC
H1|2003|NHBPEP(NHLBI)|JNC 7 訂出正式分級表:Normal <120 且 <80;Prehypertension 120–139 或 80–89;Stage 1 Hypertension 140–159 或 90–99;Stage 2 Hypertension ≥160 或 ≥100——亦即高血壓自 140/90 mmHg 起算|依據:nhlbi-jnc7-full-report-2004 Table 3(Classification of Blood Pressure for Adults),第 12 頁2003NHBPEP(NHLBI)JNC 7 訂出正式分級表:Normal <120 且 <80;Prehypertension 120–139 或 80–89;Stage 1 Hypertension140–159 或 90–99;Stage 2 Hypertension ≥160 或 ≥100——亦即高血壓自 140/90 mmHg 起算H2|2003|NHBPEP(NHLBI)|JNC 7 首創 Prehypertension 這個標籤,並明言它不是疾病分類,而是用來標示「日後容易變成高血壓」的族群|依據:nhlbi-jnc7-full-report-2004 Classification of Blood Pressure 節2003NHBPEP(NHLBI)JNC 7 首創 Prehypertension 這個標籤,並明言它不是疾病分類,而是用來標示「日後容易變成高血壓」的族群H3|2003|NHBPEP(NHLBI)|JNC 7 同時訂下分級的量測前提:至少兩次門診、每次至少兩個坐姿讀數的平均|依據:nhlbi-jnc7-full-report-2004 Classification of Blood Pressure 節2003NHBPEP(NHLBI)JNC 7 同時訂下分級的量測前提:至少兩次門診、每次至少兩個坐姿讀數的平均H10|2014|Panel Members Appointed to the Eighth Joint National Committee (JNC 8)|JNC 8 沒有重新定義高血壓與高血壓前期,只訂用藥門檻|依據:jnc8-hypertension-guideline-2014 Table 1. Comparison of Current Recommendations With JNC 7 Guidelines(Definitions 列)2014Panel Members Appointed to the Eighth Joint National Committee (JNC 8)JNC 8 沒有重新定義高血壓與高血壓前期,只訂用藥門檻H4|2017|ACC/AHA|2017 ACC/AHA 指引把高血壓定義由 140/90 mmHg 下修為 130/80 mmHg,分級改為 Normal/Elevated/Stage 1/Stage 2|依據:acc-aha-hypertension-guideline-2017 §3.1. Definition of High BP 本文(Synopsis 段)2017ACC/AHA2017 ACC/AHA 指引把高血壓定義由 140/90 mmHg 下修為130/80 mmHg,分級改為 Normal/Elevated/Stage 1/Stage2H5|2017|ACC/AHA|2017 ACC/AHA 指引同時要求:以例行診間血壓做出的高血壓診斷,應以家用血壓或 24 小時血壓確認|依據:ths-tsoc-hypertension-guideline-2022 §2.1 本文2017ACC/AHA2017 ACC/AHA 指引同時要求:以例行診間血壓做出的高血壓診斷,應以家用血壓或 24 小時血壓確認H8|2021|WHO|WHO 發布 2021 年高血壓藥物治療指引,取代 1999 年的舊指引;但明文不處理血壓量測與高血壓診斷(=WHO 這份現行文件沒有給定義/分級)|依據:who-hypertension-pharmacotherapy-guideline-2021 §1 Introduction/Scope2021WHOWHO 發布 2021 年高血壓藥物治療指引,取代 1999 年的舊指引;但明文不處理血壓量測與高血壓診斷(=WHO 這份現行文件沒有給定義/分級)H6|2022|心臟學會/高血壓學會|台灣把高血壓定義下修為 ≥130/80 mmHg,並改以依 722 協定量得的家用血壓作為診斷與分級的基礎——後者是台灣獨有、比美國指引走得更遠的一步|依據:ths-tsoc-hypertension-guideline-2022 Abstract;§2 Recommendations/Keypoints2022心臟學會/高血壓學會台灣把高血壓定義下修為 ≥130/80 mmHg,並改以依 722 協定量得的家用血壓作為診斷與分級的基礎——後者是台灣獨有、比美國指引走得更遠的一步H7|2022|心臟學會/高血壓學會|同一版另訂:120/80、130/80、140/90 三條切點在家用血壓與診間血壓一律相同,不再沿用「家用值比診間低 5 mmHg」的舊慣例|依據:ths-tsoc-hypertension-guideline-2022 §2.1 本文;Table 42022心臟學會/高血壓學會同一版另訂:120/80、130/80、140/90 三條切點在家用血壓與診間血壓一律相同,不再沿用「家用值比診間低 5 mmHg」的舊慣例H9|2025|AHA/ACC|2017 版之後首度改版的 2025 AHA/ACC 指引,血壓分級與 130/80 mmHg 的診斷門檻維持不變,改動集中在風險計算(PREVENT)、原發性醛固酮增多症篩檢、腎去神經術等|依據:aha-acc-hypertension-guideline-2025 Abstract AIM;Table 4. Categories of Blood Pressure in Adults2025AHA/ACC2017 版之後首度改版的 2025 AHA/ACC 指引,血壓分級與130/80 mmHg 的診斷門檻維持不變,改動集中在風險計算(PREVENT)、原發性醛固酮增多症篩檢、腎去神經術等 H1|2003|NHBPEP(NHLBI)|JNC 7 訂出正式分級表:Normal <120 且 <80;Prehypertension 120–139 或 80–89;Stage 1 Hypertension 140–159 或 90–99;Stage 2 Hypertension ≥160 或 ≥100——亦即高血壓自 140/90 mmHg 起算|依據:nhlbi-jnc7-full-report-2004 Table 3(Classification of Blood Pressure for Adults),第 12 頁2003NHBPEP(NHLBI)JNC 7 訂出正式分級表:Normal<120 且 <80;Prehypertension 120–139 或80–89;Stage 1 Hypertension140–159 或 90–99;Stage 2Hypertension ≥160 或 ≥100——亦即高血壓自 140/90 mmHg 起H2|2003|NHBPEP(NHLBI)|JNC 7 首創 Prehypertension 這個標籤,並明言它不是疾病分類,而是用來標示「日後容易變成高血壓」的族群|依據:nhlbi-jnc7-full-report-2004 Classification of Blood Pressure 節2003NHBPEP(NHLBI)JNC 7 首創 Prehypertension這個標籤,並明言它不是疾病分類,而是用來標示「日後容易變成高血壓」的族群H3|2003|NHBPEP(NHLBI)|JNC 7 同時訂下分級的量測前提:至少兩次門診、每次至少兩個坐姿讀數的平均|依據:nhlbi-jnc7-full-report-2004 Classification of Blood Pressure 節2003NHBPEP(NHLBI)JNC 7 同時訂下分級的量測前提:至少兩次門診、每次至少兩個坐姿讀數的平均H10|2014|Panel Members Appointed to the Eighth Joint National Committee (JNC 8)|JNC 8 沒有重新定義高血壓與高血壓前期,只訂用藥門檻|依據:jnc8-hypertension-guideline-2014 Table 1. Comparison of Current Recommendations With JNC 7 Guidelines(Definitions 列)2014Panel Members Appointed to the Eighth Joint National Committee (JNC 8)JNC 8 沒有重新定義高血壓與高血壓前期,只訂用藥門檻H4|2017|ACC/AHA|2017 ACC/AHA 指引把高血壓定義由 140/90 mmHg 下修為 130/80 mmHg,分級改為 Normal/Elevated/Stage 1/Stage 2|依據:acc-aha-hypertension-guideline-2017 §3.1. Definition of High BP 本文(Synopsis 段)2017ACC/AHA2017 ACC/AHA 指引把高血壓定義由 140/90 mmHg 下修為130/80 mmHg,分級改為 Normal/Elevated/Stage 1/Stage2H5|2017|ACC/AHA|2017 ACC/AHA 指引同時要求:以例行診間血壓做出的高血壓診斷,應以家用血壓或 24 小時血壓確認|依據:ths-tsoc-hypertension-guideline-2022 §2.1 本文2017ACC/AHA2017 ACC/AHA 指引同時要求:以例行診間血壓做出的高血壓診斷,應以家用血壓或 24 小時血壓確認H8|2021|WHO|WHO 發布 2021 年高血壓藥物治療指引,取代 1999 年的舊指引;但明文不處理血壓量測與高血壓診斷(=WHO 這份現行文件沒有給定義/分級)|依據:who-hypertension-pharmacotherapy-guideline-2021 §1 Introduction/Scope2021WHOWHO 發布 2021 年高血壓藥物治療指引,取代 1999 年的舊指引;但明文不處理血壓量測與高血壓診斷(=WHO 這份現行文件沒有給定義/分級)H6|2022|心臟學會/高血壓學會|台灣把高血壓定義下修為 ≥130/80 mmHg,並改以依 722 協定量得的家用血壓作為診斷與分級的基礎——後者是台灣獨有、比美國指引走得更遠的一步|依據:ths-tsoc-hypertension-guideline-2022 Abstract;§2 Recommendations/Keypoints2022心臟學會/高血壓學會台灣把高血壓定義下修為≥130/80 mmHg,並改以依 722協定量得的家用血壓作為診斷與分級的基礎——後者是台灣獨有、比美國指引走得更遠的一步H7|2022|心臟學會/高血壓學會|同一版另訂:120/80、130/80、140/90 三條切點在家用血壓與診間血壓一律相同,不再沿用「家用值比診間低 5 mmHg」的舊慣例|依據:ths-tsoc-hypertension-guideline-2022 §2.1 本文;Table 42022心臟學會/高血壓學會同一版另訂:120/80、130/80、140/90 三條切點在家用血壓與診間血壓一律相同,不再沿用「家用值比診間低 5 mmHg」的舊慣例H9|2025|AHA/ACC|2017 版之後首度改版的 2025 AHA/ACC 指引,血壓分級與 130/80 mmHg 的診斷門檻維持不變,改動集中在風險計算(PREVENT)、原發性醛固酮增多症篩檢、腎去神經術等|依據:aha-acc-hypertension-guideline-2025 Abstract AIM;Table 4. Categories of Blood Pressure in Adults2025AHA/ACC2017 版之後首度改版的 2025AHA/ACC 指引,血壓分級與130/80 mmHg 的診斷門檻維持不變,改動集中在風險計算(PREVENT)、原發性醛固酮增多症篩檢、腎去神經術等

依據:data/criteria/blood-pressure-history.json H1(nhlbi-jnc7-full-report-2004)、H2(nhlbi-jnc7-full-report-2004)、H3(nhlbi-jnc7-full-report-2004)、H10(jnc8-hypertension-guideline-2014)、H4(acc-aha-hypertension-guideline-2017)、H5(ths-tsoc-hypertension-guideline-2022)、H8(who-hypertension-pharmacotherapy-guideline-2021)、H6(ths-tsoc-hypertension-guideline-2022)、H7(ths-tsoc-hypertension-guideline-2022)、H9(aha-acc-hypertension-guideline-2025)。事件點依序排列,縱軸不等距於實際年數;完整出處見下表。

年份機構變更內容依據文件與版本(含頁碼或表號)列號
2003NHBPEP(NHLBI)JNC 7 訂出正式分級表:Normal <120 且 <80;Prehypertension 120–139 或 80–89;Stage 1 Hypertension 140–159 或 90–99;Stage 2 Hypertension ≥160 或 ≥100——亦即高血壓自 140/90 mmHg 起算《The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure》NIH Publication No. 04-5230,August 2004,Table 3(Classification of Blood Pressure for Adults),第 12 頁H1
2003NHBPEP(NHLBI)JNC 7 首創 Prehypertension 這個標籤,並明言它不是疾病分類,而是用來標示「日後容易變成高血壓」的族群《The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure》NIH Publication No. 04-5230,August 2004,Classification of Blood Pressure 節H2
2003NHBPEP(NHLBI)JNC 7 同時訂下分級的量測前提:至少兩次門診、每次至少兩個坐姿讀數的平均《The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure》NIH Publication No. 04-5230,August 2004,Classification of Blood Pressure 節H3
2014Panel Members Appointed to the Eighth Joint National Committee (JNC 8)JNC 8 沒有重新定義高血壓與高血壓前期,只訂用藥門檻《2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)》2014,Table 1. Comparison of Current Recommendations With JNC 7 Guidelines(Definitions 列)H10
2017ACC/AHA2017 ACC/AHA 指引把高血壓定義由 140/90 mmHg 下修為 130/80 mmHg,分級改為 Normal/Elevated/Stage 1/Stage 2《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017,§3.1. Definition of High BP 本文(Synopsis 段)H4
2017ACC/AHA2017 ACC/AHA 指引同時要求:以例行診間血壓做出的高血壓診斷,應以家用血壓或 24 小時血壓確認《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2.1 本文H5
2021WHOWHO 發布 2021 年高血壓藥物治療指引,取代 1999 年的舊指引;但明文不處理血壓量測與高血壓診斷(=WHO 這份現行文件沒有給定義/分級)《Guideline for the pharmacological treatment of hypertension in adults》2021-08-25,§1 Introduction/ScopeH8
2022心臟學會/高血壓學會台灣把高血壓定義下修為 ≥130/80 mmHg,並改以依 722 協定量得的家用血壓作為診斷與分級的基礎——後者是台灣獨有、比美國指引走得更遠的一步《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Abstract;§2 Recommendations/KeypointsH6
2022心臟學會/高血壓學會同一版另訂:120/80、130/80、140/90 三條切點在家用血壓與診間血壓一律相同,不再沿用「家用值比診間低 5 mmHg」的舊慣例《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2.1 本文;Table 4H7
2025AHA/ACC2017 版之後首度改版的 2025 AHA/ACC 指引,血壓分級與 130/80 mmHg 的診斷門檻維持不變,改動集中在風險計算(PREVENT)、原發性醛固酮增多症篩檢、腎去神經術等《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025,Abstract AIM;Table 4. Categories of Blood Pressure in AdultsH9

診間和家裡對不上的比例,台灣本土數字是 21% 與 11%

在診間量起來偏高、在家量是正常的,這是白袍高血壓;診間量起來正常、實際上是高血壓,則是隱蔽性高血壓。以 130/80 mmHg 為標準,台灣的盛行率依序是 21% 與 11%。量測前 30 分鐘的咖啡因、運動、抽菸,量測時講話或姿勢不對,都會影響讀數。722 取平均時要剔除第 1 天的讀數,這條只有學會指引有。

同一批狀況,各機構標的方向不一樣,也有只說會影響而未指方向的
國健署心臟學會/高血壓學會NHLBI

使數值偏高2 列

  • 白袍高血壓:在醫院面對穿白袍的醫護人員緊張,導致量到的血壓升高國健署 L1
  • ROBP 比 AOBP 高 14.5 mmHg、標準化診間血壓比 AOBP 高 7.0 mmHg心臟學會/高血壓學會 L4

同一機轉兩側都有4 列

  • 台灣本土資料:以診間與家用血壓 130/80 為診斷標準時,白袍高血壓與隱蔽性高血壓的盛行率分別為 21% 與 11%心臟學會/高血壓學會 L3
  • 兩手血壓不一樣:首次要左右手都量;兩手差 < 15 mmHg 時取較高的那一手心臟學會/高血壓學會 L9
  • 血壓本來就會隨一天中的活動變動,單次讀數不能定生死NHLBI L14
  • 透析病人:透析前傾向高估、透析後傾向低估,兩者都較不建議用來診斷或調藥心臟學會/高血壓學會 L15

來源說此時不適合用於診斷1 列

  • 例行診間血壓不得用於高血壓的診斷與管理(除非依建議流程量測)心臟學會/高血壓學會 L5

來源只說會影響,未指方向10 列

  • 隱蔽性高血壓(masked hypertension):診間量起來正常、實際上是高血壓;其心血管風險與持續性高血壓相當心臟學會/高血壓學會 L2
  • 心房顫動會影響血壓量測的準確度;心房顫動者一次要量 ≥3 遍並使用專門驗證過的機器心臟學會/高血壓學會 L6
  • 捲袖子會造成局部止血帶效應;衣物要脫掉而不是捲起來心臟學會/高血壓學會 L7
  • 壓脈帶尺寸不對:氣囊寬度/長度需達上臂圍的 40%/80%心臟學會/高血壓學會 L8
  • 量測前 30 分鐘內的咖啡因、運動、抽菸心臟學會/高血壓學會 L10
  • 講話與姿勢:休息期間與量測全程都不能講話,要坐有靠背的椅子、雙腳平放心臟學會/高血壓學會 L11
  • 722 取平均時第 1 天的讀數要剔除(第 1 天的值不納入平均)心臟學會/高血壓學會 L12
  • 機器未定期校正:自動電子血壓計校正間隔不得超過 12 個月心臟學會/高血壓學會 L13
  • 高血壓初期多數人沒有明顯症狀,沒有症狀不等於沒有高血壓國健署 L16
  • 美國約每 3 個有高血壓的成人就有 1 人不知道自己有NHLBI L17

依據:data/criteria/blood-pressure-interference.json L1(hpa-home-bp-722-press-release-2025)、L2(ths-tsoc-hypertension-guideline-2022)、L3(ths-tsoc-hypertension-guideline-2022)、L4(ths-tsoc-hypertension-guideline-2022)、L5(ths-tsoc-hypertension-guideline-2022)、L6(ths-tsoc-hypertension-guideline-2022)、L7(ths-tsoc-hypertension-guideline-2022)、L8(ths-tsoc-hypertension-guideline-2022)、L9(ths-tsoc-hypertension-guideline-2022)、L10(ths-tsoc-hypertension-guideline-2022)、L11(ths-tsoc-hypertension-guideline-2022)、L12(ths-tsoc-hypertension-guideline-2022)、L13(ths-tsoc-hypertension-guideline-2022)、L14(nhlbi-high-blood-pressure-page)、L15(ths-tsoc-hypertension-guideline-2022)、L16(hpa-hypertension-topic-page)、L17(nhlbi-high-blood-pressure-page)。方向一律照來源原文標示,來源未指方向者不推論。

方向情況機構依據文件與版本(含頁碼或表號)列號
使數值偏高白袍高血壓:在醫院面對穿白袍的醫護人員緊張,導致量到的血壓升高國健署《居家「722」量血壓 相揪親友保健康》發布/更新 2025/02/25,新聞稿本文(居家量測必要性說明段)L1
來源只說會影響,未指方向隱蔽性高血壓(masked hypertension):診間量起來正常、實際上是高血壓;其心血管風險與持續性高血壓相當心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3.5 White-coat hypertension and masked hypertension 本文L2
同一機轉兩側都有台灣本土資料:以診間與家用血壓 130/80 為診斷標準時,白袍高血壓與隱蔽性高血壓的盛行率分別為 21% 與 11%心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3.5 White-coat hypertension and masked hypertension 本文L3
使數值偏高ROBP 比 AOBP 高 14.5 mmHg、標準化診間血壓比 AOBP 高 7.0 mmHg心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§2.1 本文(ROBP/AOBP/標準化診間血壓比較段)L4
來源說此時不適合用於診斷例行診間血壓不得用於高血壓的診斷與管理(除非依建議流程量測)心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3 Recommendations/KeypointsL5
來源只說會影響,未指方向心房顫動會影響血壓量測的準確度;心房顫動者一次要量 ≥3 遍並使用專門驗證過的機器心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3.6 本文(心房顫動偵測段);§3 Recommendations/KeypointsL6
來源只說會影響,未指方向捲袖子會造成局部止血帶效應;衣物要脫掉而不是捲起來心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 6, Stage 1: PreparationL7
來源只說會影響,未指方向壓脈帶尺寸不對:氣囊寬度/長度需達上臂圍的 40%/80%心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 6, Stage 2L8
同一機轉兩側都有兩手血壓不一樣:首次要左右手都量;兩手差 < 15 mmHg 時取較高的那一手心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 6, Stage 3L9
來源只說會影響,未指方向量測前 30 分鐘內的咖啡因、運動、抽菸心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 6, Stage 1: PreparationL10
來源只說會影響,未指方向講話與姿勢:休息期間與量測全程都不能講話,要坐有靠背的椅子、雙腳平放心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),Table 6, Stage 1: PreparationL11
來源只說會影響,未指方向722 取平均時第 1 天的讀數要剔除(第 1 天的值不納入平均)心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3.6 Home blood pressure measurement 本文(722 協定說明段)L12
來源只說會影響,未指方向機器未定期校正:自動電子血壓計校正間隔不得超過 12 個月心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§3 Recommendations/KeypointsL13
同一機轉兩側都有血壓本來就會隨一天中的活動變動,單次讀數不能定生死NHLBI《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,What is blood pressure? 段L14
同一機轉兩側都有透析病人:透析前傾向高估、透析後傾向低估,兩者都較不建議用來診斷或調藥心臟學會/高血壓學會《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325),§14.2 Blood pressure targets for patients with dialytic chronic kidney disease 本文L15
來源只說會影響,未指方向高血壓初期多數人沒有明顯症狀,沒有症狀不等於沒有高血壓國健署《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09),主題頁本文第 1 段L16
來源只說會影響,未指方向美國約每 3 個有高血壓的成人就有 1 人不知道自己有NHLBI《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25,本文(高血壓盛行與知曉率段)L17

在家量的那七天,記錄要怎麼寫

在家依 722 量血壓,連續 7 天、早上起床後與晚上睡覺前各量一次、每次量兩遍取平均,這份記錄怎麼寫、哪些讀數納入平均,可以和醫師討論。診間的數字和家裡的對不上時,也可以和醫師討論。

來源與版本

  1. 衛生福利部國民健康署《高血壓》頁面更新日 2026/08/28(相關資源最後發布 2025-10-09)
  2. Taiwan Society of Cardiology/Taiwan Hypertension Society《2022 Guidelines of the Taiwan Society of Cardiology and the Taiwan Hypertension Society for the Management of Hypertension》2022(Acta Cardiol Sin 2022;38:225-325)
  3. National Heart, Lung, and Blood Institute(National Institutes of Health)《High Blood Pressure — What Is High Blood Pressure?》頁面標示 Last updated on 2024-04-25
  4. MedlinePlus(U.S. National Library of Medicine)《High Blood Pressure》Last updated January 22, 2026(DC.Date.Modified 2026-01-22)
  5. World Health Organization《Guideline for the pharmacological treatment of hypertension in adults》2021-08-25
  6. National High Blood Pressure Education Program(National Heart, Lung, and Blood Institute, National Institutes of Health)《The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure》NIH Publication No. 04-5230,August 2004
  7. Panel Members Appointed to the Eighth Joint National Committee (JNC 8)《2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)》2014
  8. American College of Cardiology/American Heart Association《2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines》Originally Published 13 November 2017
  9. American Heart Association/American College of Cardiology《2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines》Originally Published 14 August 2025
  10. 衛生福利部國民健康署《代謝症候群》頁面更新日 2026/08/28(資料來源標「代謝症候群學習手冊」105年版)
  11. 衛生福利部國民健康署《居家「722」量血壓 相揪親友保健康》發布/更新 2025/02/25
  12. 衛生福利部《沉默殺手:高血壓相關疾病為我國重大死因 722是管理血壓好幫手》112-05-15

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