Editorial: Persistence of Normal Blood Pressure after Discontinuing Treatment in Hypertensive Patients
Editorial: Persistence of Normal Blood Pressure after Discontinuing Treatment in Hypertensive Patients
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社论：高血压患者停止治疗后血压仍维持正常
DOI：
10.1161/01.cir.25.3.433
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发表时间：
1962
期刊：
影响因子：
37.8
通讯作者：
H. Dustan
中科院分区：
文献类型：
--
作者：
I. Page;H. Dustan
几乎没有人会否认，在过去的10年里，已经开发出了有效的降压药。我们中的一些人认为，谨慎使用这些药物显著降低了高血压患者的死亡率和发病率，特别是那些患有恶性高血压的患者。其他6发现治疗和未治疗的原发性高血压患者的预后没有差异。尽管人们通常不这么认为，但动脉高血压的控制问题，仅次于动脉粥样硬化，是文明人最大的心血管问题。因此，决定使用这种新的、强大的抗高血压药物是否具有真正的价值，不仅仅是一件非常重要的事情。显然，需要更多的研究，使仰卧位血压始终保持在或接近正常水平。仰卧位高血压的体位性低血压对我们来说似乎没有足够的血压控制。其他许多人并不同意我们的观点。我们坦率地说，在我们看来，仔细监督药物治疗以持续保持正常或接近正常的动脉压是很少达到的。大多数医生偶尔会测血压，偶尔也会调整药物剂量。这就够了。今天的伊利德是为大群人准备的-
ALMOST NO ONE would deny that in the past 10 years effective antihypertensive drugs have been developed. Some of us'-5 believe that the careful use of these drugs has significantly reduced the mortality and morbidity of hypertensive patients, especially those suffering from malignant hypertenision. Others6 find no difference in prognosis between treated and untreated patients with primary hypertension. Even though it is often not so thought of, the problem of the control of arterial hypertension is, next to atherosclerosis, civilized man's greatest cardiovascular problem. It is, then, of more than passing importaniee to decide whether the use of the new, formidable array of antihypertensive drugs is of real value. Clearly, more studies in which the supine blood pressure has consistently been kept at, or near, normal levels are needed. Postural hypotension with supine hypertension does not seem to us adequate blood pressure control. Many others have not agreed with us. We are frank in saying that in our opinion the careful supervision of drug therapy to maintain continuously normal, or near nlormal, arterial pressure is rarely met. Most physicians are conitent with occasional blood pressure readinigs and occasioiial rieadjustment of drugr dosage. This is niot enoufgh. The ileed today is for large groups of pa-