Isolated Systolic Hypertension in Young People Is Not Spurious and Should Be Treated Con Side of the Argument
Isolated Systolic Hypertension in Young People Is Not Spurious and Should Be Treated Con Side of the Argument
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DOI：
10.1161/hypertensionaha.116.06548
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发表时间：
2016-08-01
期刊：
影响因子：
8.3
通讯作者：
Redon, Josep
中科院分区：
文献类型：
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作者：
Lurbe, Empar;Redon, Josep
276青年人孤立性收缩期高血压（isH），根据肱血压（Bp）定义为收缩期血压（sBp）至少为140毫米汞柱，舒张期血压(DBp) < 90毫米汞柱，这不是一种罕见的疾病，并且发病率正在增加。迄今为止，这一概念在机制、临床相关性和后果方面面临挑战。除肱血压外的其他参数，如无创中央血流动力学，为该病提供了新的见解。然而，仍然缺乏支持长期后果的可靠资料；因此，决定治疗或不治疗的必要性是临床实践中需要关注的问题。目前对年轻人isH的了解强调的是与决定不需要治疗相关的因素。
276 isolated systolic hypertension (isH) in young people, defined on the basis of brachial blood pressure (Bp) as a systolic Bp (sBp) of at least 140 mm Hg with a diastolic Bp (DBp) of< 90 mm Hg, is not an unusual condition and is increasing in prevalence. 1–3 to date, this concept has been confronted with challenges in the mechanisms, clinical relevance, and consequences. parameters other than brachial Bp, such as noninvasive central hemodynamics, have introduced new insights to the condition. nevertheless, grounded information supporting the long-term consequences is still lacking; therefore, the necessity to decide to treat or not to treat is a matter of concern in clinical practice. 4 the current knowledge of isH in young people is presented with an emphasis on the elements that are relevant to deciding that treatment is not needed.