McKay D W, Myers Martin G, Bolli Peter, Chockalingam Arun
Division of Basic Medical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Can J Cardiol. 2006 May 15;22(7):617-20. doi: 10.1016/s0828-282x(06)70285-9.
A patient has masked hypertension when his office blood pressure is less than 140/90 mmHg but his ambulatory or home blood pressure readings are in the hypertensive range. Several recent studies have demonstrated that cardiovascular risk is similar between those with masked hypertension and those with sustained hypertension. The prevalence of masked hypertension in Canada is not known, but data from other countries suggest rates greater than 8%. Physicians need to use careful clinical judgment to identify and treat subjects with masked hypertension. The present review discusses masked hypertension, its importance to clinical practice and some aspects of patient management.
当患者诊室血压低于140/90 mmHg，但动态血压或家庭血压读数处于高血压范围时，该患者即患有隐匿性高血压。最近的几项研究表明，隐匿性高血压患者与持续性高血压患者的心血管风险相似。加拿大隐匿性高血压的患病率尚不清楚，但其他国家的数据显示该患病率超过8%。医生需要运用审慎的临床判断来识别和治疗隐匿性高血压患者。本综述讨论了隐匿性高血压、其在临床实践中的重要性以及患者管理的一些方面。
