Liu Li Sheng, Caguioa Eduardo S, Park Chang-Gyu, Quek David Kwang Leng, Saito Ikuo, Venketasubramanian Narayanaswamy, Wong Ka Sing Lawrence, Reid John L
Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences, China.
Int J Stroke. 2006 Aug;1(3):150-7. doi: 10.1111/j.1747-4949.2006.00041.x.
Stroke results in substantial morbidity and mortality globally. Asia-Pacific countries bear a disproportionate share of the burden of stroke, a burden that will grow as their populations' life expectancies rise. Hypertension is the single most important reversible risk factor for stroke, and effective measures to reduce blood pressure contribute significantly to reducing the incidence of stroke. The Asia-Pacific Consensus Conference on Stroke Prevention in Hypertensive Patients assembled leading experts from the region to reach an actionable consensus aimed at reducing stroke-induced morbidity and mortality in Asia through the evidence-based treatment of hypertension. The discussions of the group focused on how best to improve blood pressure control, how to promote lifestyle changes at the population level, and how to reduce the clinical and health system barriers and other challenges facing developing and low-income countries. The experts concluded that physicians must place an increased priority on reducing their patients' risk of stroke and recognise that all hypertensive patients are at greater risk of having a stroke compared with nonhypertensive individuals. They advocated that physicians must educate hypertensive patients about the risk of stroke, promote lifestyle modification to all patients diagnosed with hypertension, and prescribe rigorous antihypertensive treatment to get patients to recommended blood pressure goals.
中风在全球范围内导致了大量的发病和死亡。亚太国家承受着不成比例的中风负担,随着这些国家人口预期寿命的增加,这一负担还将加重。高血压是中风唯一最重要的可逆转风险因素,降低血压的有效措施对降低中风发病率有显著贡献。亚太高血压患者中风预防共识会议召集了该地区的顶尖专家,以达成一项可付诸行动的共识,旨在通过基于证据的高血压治疗降低亚洲中风所致的发病和死亡。该小组的讨论集中在如何最好地改善血压控制、如何在人群层面促进生活方式改变,以及如何减少发展中国家和低收入国家面临的临床和卫生系统障碍及其他挑战。专家们得出结论,医生必须更加重视降低患者的中风风险,并认识到所有高血压患者与非高血压个体相比,中风风险更高。他们主张医生必须向高血压患者宣传中风风险,向所有确诊为高血压的患者推广生活方式改变,并开出严格的抗高血压治疗方案,以使患者达到推荐的血压目标。