2020 International Society of Hypertension global hypertension practice guidelines

2020 International Society of Hypertension global hypertension practice guidelines
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DOI:
10.1097/hjh.0000000000002453
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发表时间:
2020-06-01
影响因子:
4.9
通讯作者:
Schutte, Aletta E.
Schutte, Aletta E.
中科院分区:
医学2区
文献类型:
--
作者:
Unger, Thomas;Borghi, Claudio;Schutte, Aletta E.

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在《准则》中,最佳标准和基本标准之间的区别并不总是可能的,而是在最实际和最合理的章节中加以区分。指南委员会还意识到,一些建议的基本标准在资源不足的情况下可能不可行,例如,办公室外血压测量,诊断高血压需要多次就诊,或建议使用单一药丸组合治疗。虽然实施起来具有挑战性,但这些准则可能有助于地方举措,以推动政策变革,并作为推动地方改善护理标准的工具。应尽一切努力达到基本护理标准,以减少高血压引起的心血管疾病发病率和死亡率。
In the Guidelines, differentiation between optimal and essential standards were not always possible, and were made in sections where it was most practical and sensible. The Guidelines Committee is also aware that some recommended essential standards may not be feasible in low resource settings, for example, out-of-office BP measurements, the requirement of multiple visits for the diagnosis of hypertension, or advising the use of single pill combination therapy. Although challenging to implement, these guidelines may aid in local initiatives to motivate policy changes and serve as an instrument to drive local improvements in standards of care. Every effort should be made to achieve essential standards of care to reduce hypertension-induced cardiovascular morbidity and mortality.