Wilhelmsen L
Department of Medicine, Ostra Hospital, University of Göteborg, Sweden.
Qual Assur Health Care. 1990;2(3-4):271-8. doi: 10.1093/intqhc/2.3-4.271.
Elevated blood pressure (hypertension) is associated with increased risk for several complications, and the risk is gradually increasing from the lowest to the highest blood pressure levels. Elevated blood pressure is associated with metabolic and other abnormalities which are not affected by antihypertensive treatment. The majority of cardiovascular complications are found among individuals with only moderately elevated blood pressure levels. The antihypertensive treatment principles of today are effective against stroke but considerably less so against coronary heart disease complications. A programme launched by WHO Europe has measured the awareness of hypertension in various communities, the adequacy of care, the patients' satisfaction with the care, physicians' knowledge and attitudes and the utilization of hypotensive drugs. The impact of antihypertensive treatment on stroke and coronary heart disease, which latter are the most common, is reviewed. Quality of life effects of blood pressure treatment as well as some economic aspects are discussed.
血压升高（高血压）与多种并发症风险增加相关，且风险从血压最低水平到最高水平逐渐升高。血压升高与代谢及其他异常有关，而这些异常不受降压治疗影响。大多数心血管并发症见于血压仅中度升高的个体。当今的降压治疗原则对预防中风有效，但对冠心病并发症的效果则要差得多。世卫组织欧洲区域发起的一项计划，对各社区的高血压知晓情况、治疗的充分性、患者对治疗的满意度、医生的知识与态度以及降压药物的使用情况进行了评估。本文综述了降压治疗对中风和冠心病（后者最为常见）的影响。还讨论了血压治疗对生活质量的影响以及一些经济方面的问题。
