Implications of New Hypertension Guidelines in the United States (Retracted Article)
Implications of New Hypertension Guidelines in the United States (Retracted Article)
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DOI：
10.1161/hypertensionaha.111.175463
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发表时间：
2011-09-01
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.
美国心脏协会工作队于2007年发表了一份科学陈述，以治疗预防冠状动脉疾病（CAD）的高血压。这些指南建议在CAD高风险的患者中对血压（BP）进行更积极的控制：糖尿病患者，慢性肾脏疾病，心血管疾病，充血性心力衰竭或10年的Framingham风险评分> = 10％。建议这些人保持BP 140/90毫米Hg），9800万（21％）美国人患有高血压。使用更新的指南，现在又有5200万（11％）的美国成年人的BP需要升高，需要治疗1.5亿成年人（32％）。糖尿病的成年人的人口负担最大，不受控制的BP（50060万），其次是患有慢性肾脏疾病（4370万）和心血管疾病（4330万）的成年人。尽管CAD风险较高的人更有可能意识到自己的高血压并服用抗高血压药物，但他们不太可能控制BP。在治疗升高的BP时，需要采取额外的努力，尤其是在CAD风险增加的个体中。 （高血压。2011; 58：361-366。）。
The American Heart Association Task Force released a scientific statement in 2007 for the treatment of hypertension in the prevention of coronary artery disease (CAD). These guidelines recommend more aggressive control of blood pressure (BP) among those at high risk for CAD: individuals with diabetes mellitus, chronic kidney disease, cardiovascular disease, congestive heart failure, or a 10-year Framingham risk score >= 10%. These individuals are advised to maintain a BP 140/90 mm Hg), 98 million (21%) Americans have hypertension. Using the updated guidelines, an additional 52 million (11%) American adults now have elevated BP requiring treatment, for a total of 150 million adults (32%). Adults with diabetes mellitus have the greatest population burden of uncontrolled BP (50.6 million), followed by adults with chronic kidney disease (43.7 million) and cardiovascular disease (43.3 million). Although individuals at a higher risk for CAD 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 CAD. (Hypertension. 2011;58:361-366.)