Implications of New Hypertension Guidelines in the United States
Implications of New Hypertension Guidelines in the United States
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DOI：
10.1161/hypertensionaha.112.193714
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发表时间：
2012-09-01
期刊：
影响因子：
8.3
通讯作者：
Eaton, Charles B.
中科院分区：
文献类型：
--
作者：
Bertoia, Monica L.;Waring, Molly E.;Eaton, Charles B.
2007年，美国心脏协会根据现有的临床试验和专家意见发布了一份科学声明，说明高血压治疗可以预防冠状动脉疾病。这些指南建议更积极地控制血压（BP = 10%）。根据最新的临床试验数据，2011年美国心脏病学会基金会/美国心脏协会（AHA）针对老年人的高血压指南建议采用较低侵略性的方法（= 140/90 mm Hg）， 7200万美国人（35%）患有高血压。根据2007年美国心脏协会指南，另外700万美国成年人（5%）有血压升高需要治疗，总计7900万成年人（40%）。尽管患冠状动脉疾病风险较高的人更容易意识到自己的高血压，并服用抗高血压药物，但他们的血压不太可能得到控制。在血压升高的治疗中，特别是在冠状动脉疾病风险增加的个体中，需要额外的努力。（中国高血压杂志，2012;60:639-644）
The American Heart Association released a scientific statement based on available clinical trials and expert opinion in 2007 for the treatment of hypertension to prevent coronary artery disease. These guidelines recommend more aggressive control of blood pressure (BP = 10%. Based on newer clinical trial data, the 2011 American College of Cardiology Foundation/American Heart Association (AHA) hypertension guidelines for the elderly recommend a less aggressive approach of = 140/90 mm Hg), 72 million Americans (35%) have hypertension. Using the 2007 AHA guidelines, an additional 7 million American adults (5%) have elevated BP requiring treatment, for a total of 79 million adults (40%). Although individuals at a higher risk for coronary artery disease are more likely to be aware of their hypertension and to be taking antihypertension medication, they are less likely to have their BP under control. Additional efforts are needed in the treatment of elevated BP, especially among individuals with an increased risk of coronary artery disease. (Hypertension. 2012; 60: 639-644.)