Vidt D G
Department of Nephrology and Hypertension, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Minerva Med. 2001 Aug;92(4):213-25.
Numerous national hypertension guidelines are available. Major similarities and differences have been reviewed, along with both patient and provider barriers to adequate blood pressure control. The current recommended risk stratification of hypertension for treatment decisions together with principles of drug management have been reviewed. Finally, data from recent clinical trials in hypertension together with the lessons learned from those trials have been addressed. It is apparent that most available classes of antihypertensive agents can be effective in the management of hypertension, if used appropriately by providers, in conjunction with optimal adherence with prescribed medications by patients.
有许多国家高血压指南可供参考。人们已经对主要的异同点进行了综述,同时也探讨了患者和医疗服务提供者在实现充分血压控制方面所面临的障碍。当前推荐的用于治疗决策的高血压风险分层以及药物管理原则也已得到综述。最后,还讨论了近期高血压临床试验的数据以及从这些试验中吸取的经验教训。显然,如果医疗服务提供者合理使用,同时患者最佳地坚持服用处方药,那么大多数现有的抗高血压药物类别在高血压管理中都可以是有效的。