Schmieder R
Medizinische Klinik IV/4, Universität Erlangen-Nürnberg.
MMW Fortschr Med. 2000 Feb 17;142(7):28-30.
A target parameter for a cardiovascular risk in patients with hypertension is the lowering of the blood pressure. In 1999, the International Society of Hypertension (ISH) and WHO published new recommendations and redefined normal blood pressure values. When deciding the question what antihypertensive treatment for what patient, concomitant risk factors, hypertension related organ damage and contraindications must all be taken into account. The results of large prospective studies apply only in part for the majority of ambulatory patients. For the effective application of these recommendations and guidelines in the doctor's office, considerably more importance must be attached to the cooperation of all their "users"--including family doctors--when they are being established by a specialist society.
高血压患者心血管风险的一个目标参数是降低血压。1999年,国际高血压学会(ISH)和世界卫生组织(WHO)发布了新的建议并重新定义了正常血压值。在决定针对何种患者采用何种抗高血压治疗时,必须综合考虑并存的危险因素、高血压相关的器官损害以及禁忌证。大型前瞻性研究的结果仅部分适用于大多数门诊患者。为了在医生办公室有效应用这些建议和指南,专业学会在制定这些建议和指南时,必须更加重视包括家庭医生在内的所有“使用者”的合作。