International Circulation: Do you think it is necessary to treat patients with pre-hypertension and/or which patients with pre-hypertension need to be treated?
《国际循环》：您认为高血压前期是否需要治疗？或者说哪些高血压前期的病人需要治疗？

Prof Nilsson: First of all we need to define things. Blood pressure is constantly shifting and you should base your judgment on a series of mean blood pressure recordings. That is obvious. If you have a patient with pre-hypertension or high-normal blood pressure status， the first thing is not to measure things but to ask about things. What should we ask for? A positive family history of cardiovascular disease is very important. Lifestyle habits. Psycho-social background characteristics are also important. Who should we treat? The ones with a positive family history of cardiovascular disease are very prone to developing such disease themselves and if they have a state of high-normal blood pressure or pre-hypertension in early adulthood they are prone to continue on that path to get established hypertension and to develop cardiovascular disease. I am not advocating to treat everybody， but to focus on the ones with a positive family history for example. In the future we might even ask people for their birth weight based on register data perhaps， but many will not remember this.