Vancheri Federico, Alletto Maurizio, Sidoti Paola
Unità Operativa di Medicina Interna, Ospedale S. Elia, Caltanissetta.
Recenti Prog Med. 2003 Mar;94(3):106-9.
Recommendations on the techniques for the measurement of hypertension have been published by WHO and the International Society of Hypertension. In order to assess the impact of these recommendations on the clinical practice among physicians, we have conducted a survey using a self reported questionnaire, among 211 hospital internists, 51 hospital cardiologists and 153 general practitioners (GPs). Large differences in the technique for the measurement of blood pressure were recorded within each group of specialists, whereas internists, cardiologists and GPs did not differ as groups. About half of the internists and cardiologists, and about two thirds of GPs reported they usually record the diastolic blood pressure at the fourth Korotkoff phase, while the others use the fifth phase. There was also disagreement on the patient position, sitting or lying, during blood pressure measurement. Physicians dealing with diagnosis and treatment of hypertension do not follow the international Society guidelines. Such differences may partly explain the inadequate control of hypertension in the general population and the increase in the prevalence of heart failure.
世界卫生组织（WHO）和国际高血压学会已发布了关于高血压测量技术的建议。为评估这些建议对医生临床实践的影响，我们使用自填式问卷对211名医院内科医生、51名医院心脏病专家和153名全科医生（GPs）进行了一项调查。在每组专科医生中，血压测量技术存在很大差异，而内科医生、心脏病专家和全科医生作为群体并无差异。约一半的内科医生和心脏病专家，以及约三分之二的全科医生报告称他们通常在柯氏音第四期记录舒张压，而其他人则使用第五期。在血压测量期间患者的体位是坐着还是躺着方面也存在分歧。处理高血压诊断和治疗的医生未遵循国际学会指南。此类差异可能部分解释了普通人群中高血压控制不佳以及心力衰竭患病率上升的原因。
