Setaro John F.
Cardiovascular Disease Prevention Center and Yale Vascular Center, Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
J Clin Hypertens (Greenwich). 2000 Jan;2(1):25-32.
Hypertension is the most common reason for adult medical office visits in the U.S. today. With increasing longevity, an aging population, a greater prevalence of obesity, and a falling threshold for indications for high blood pressure treatment, the diagnostic evaluation of the hypertensive patient assumes a major role in office practice. The majority of patients who are being assessed for newly discovered hypertension will benefit from a relatively simple evaluation without the use of high cost procedures. Evaluation includes a careful history for both blood pressure related findings and other cardiovascular risk factors, a physical examination aimed at identifying possible specific etiologies and target organ damage, as well as some basic laboratory assays. In a rapid and relatively inexpensive fashion, the patient then can be directed toward nonpharmacologic treatment, drug therapy, or more specialized investigations as needed. (c)2000 by Le Jacq Communications, Inc.
高血压是当今美国成年人前往医疗机构就诊的最常见原因。随着寿命延长、人口老龄化、肥胖患病率上升以及高血压治疗指征门槛降低，高血压患者的诊断评估在门诊实践中占据重要地位。大多数因新发现高血压而接受评估的患者将受益于相对简单的评估，无需使用高成本检查。评估包括详细询问与血压相关的发现以及其他心血管危险因素的病史，进行旨在识别可能的特定病因和靶器官损害的体格检查，以及一些基本实验室检测。然后，以快速且相对经济的方式，可根据需要指导患者进行非药物治疗、药物治疗或更专业的检查。（c）2000年，勒雅克通信公司
