The Epidemiology of Blood Pressure and Its Worldwide Management
The Epidemiology of Blood Pressure and Its Worldwide Management
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DOI：
10.1161/circresaha.116.304723
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发表时间：
2015-03-13
影响因子：
20.1
通讯作者：
MacMahon, Stephen
中科院分区：
文献类型：
--
作者：
Rahimi, Kazem;Emdin, Connor A.;MacMahon, Stephen
尽管迄今为止积累了大量关于降血压益处的证据，但血压升高仍然是世界范围内疾病和残疾的主要危险因素。本综述的目的是总结支持血压与一系列疾病之间关系的流行病学证据。这篇综述的重点是收缩压和舒张压与心血管和肾脏疾病风险之间的关系。本文描述了支持和反对血压与心血管风险之间存在j型曲线关联的证据，以及收缩压、舒张压和脉压预测能力的差异。此外，还回顾了全球和区域血压水平和高血压管理的趋势。
Despite the vast amount of evidence on the benefits of blood pressure lowering accumulated to date, elevated blood pressure is still the leading risk factor for disease and disability worldwide. The purpose of this review is to summarize the epidemiological evidence underpinning the association between blood pressure and a range of conditions. This review focuses on the association between systolic and diastolic blood pressures and the risk of cardiovascular and renal disease. Evidence for and against the existence of a J-shaped curve association between blood pressure and cardiovascular risk, and differences in the predictive power of systolic, diastolic, and pulse pressure, are described. In addition, global and regional trends in blood pressure levels and management of hypertension are reviewed.