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高血压 2010:心脏病学家的新发现?

Hypertension 2010: what was new for the cardiologist?

机构信息

The Medical University of Warsaw, Department of Internal Medicine, Hypertension and Vascular Diseases, 1a Banacha Street, 02-097 Warsaw, Poland.

出版信息

Expert Opin Pharmacother. 2010 Nov;11(16):2579-97. doi: 10.1517/14656566.2010.513972.

DOI:10.1517/14656566.2010.513972
PMID:20977397
Abstract

IMPORTANCE OF THE FIELD

Despite extensive clinical research, still there is some uncertainty regarding management of hypertension, in particular initial and goal blood pressure levels and selection of optimal pharmacotherapy, as well as concomitant medications, to reduce other risk factors.

AREAS COVERED IN THIS REVIEW

An overview of recent findings from major clinical trials in hypertension (until July 2010), along with a reappraisal of the European Society of Hypertension 2009 guidelines.

WHAT THE READER WILL GAIN

Practical overview of the management of hypertension, including threshold and goal blood pressure in specific situations, choice of antihypertensive medications and indications for treatment of concomitant risk factors.

TAKE HOME MESSAGE

Primary benefits of antihypertensive therapy are mediated by blood pressure reduction and the majority of patients will require at least two drugs, with the preference of fixed-dose combinations for effective blood pressure control.

摘要

重要性的领域

尽管有广泛的临床研究,仍然有一些不确定性的管理高血压,特别是初始和目标血压水平和选择最佳的药物治疗,以及伴随的药物,以减少其他危险因素。

涵盖的领域在这篇综述

概述了最近的发现主要临床试验中的高血压(截至 2010 年 7 月),以及重新评估欧洲高血压学会 2009 年的指南。

读者将获得

实用的管理高血压,包括阈值和目标血压在特定情况下,选择抗高血压药物和治疗的适应症同时发生的危险因素。

带回家的消息

抗高血压治疗的主要好处是通过降低血压和大多数患者将需要至少两种药物,与固定剂量的组合有效控制血压的偏好。

相似文献

1
Hypertension 2010: what was new for the cardiologist?高血压 2010:心脏病学家的新发现?
Expert Opin Pharmacother. 2010 Nov;11(16):2579-97. doi: 10.1517/14656566.2010.513972.
2
Improving blood pressure control rates by optimizing combination antihypertensive therapy.通过优化联合降压治疗提高血压控制率。
Expert Opin Pharmacother. 2010 Aug;11(12):2011-26. doi: 10.1517/14656566.2010.500614.
3
Overcoming clinical inertia to achieve blood pressure goals: the role of fixed-dose combination therapy.克服临床惰性以实现血压目标:固定剂量联合治疗的作用。
Ther Adv Cardiovasc Dis. 2010 Apr;4(2):119-27. doi: 10.1177/1753944709356012. Epub 2009 Dec 30.
4
Optimizing hypertension management in clinical practice.优化临床实践中的高血压管理。
J Hum Hypertens. 2006 Nov;20(11):841-9. doi: 10.1038/sj.jhh.1002079. Epub 2006 Aug 10.
5
[Recently published European and American guidelines for the diagnosis and treatment of hypertension].[最近发布的欧美高血压诊断与治疗指南]
Ned Tijdschr Geneeskd. 2004 May 1;148(18):868-71.
6
A role for single-pill triple therapy in hypertension.单片三联疗法在高血压治疗中的作用。
Ther Adv Cardiovasc Dis. 2009 Jun;3(3):231-40. doi: 10.1177/1753944709334947. Epub 2009 May 14.
7
Newer approaches to antihypertensive therapy. Use of fixed-dose combination therapy.抗高血压治疗的新方法。固定剂量联合治疗的应用。
Arch Intern Med. 1996 Sep 23;156(17):1969-78.
8
Combined therapy in the treatment of hypertension.联合疗法治疗高血压。
Fundam Clin Pharmacol. 2010 Feb;24(1):3-8. doi: 10.1111/j.1472-8206.2009.00749.x. Epub 2009 Aug 14.
9
Optimal blood pressure control in high-risk groups: are the guidelines letting us down?
South Med J. 2008 Sep;101(9):884-5. doi: 10.1097/SMJ.0b013e318180439f.
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[Fixed-dose combinations in antihypertensive treatment: is it necessary to examine the effectiveness of each component?].[抗高血压治疗中的固定剂量复方制剂:是否有必要检验各成分的有效性?]
MMW Fortschr Med. 2009 Nov 5;151(45):46-7.

引用本文的文献

1
Metabolic hypertension: concept and practice.代谢性高血压:概念与实践。
Front Med. 2013 Jun;7(2):201-6. doi: 10.1007/s11684-013-0264-4. Epub 2013 Apr 5.
2
The Rise and Fall of Hypertension: Lessons Learned from Eastern Europe.高血压的兴衰:东欧的经验教训
Curr Cardiovasc Risk Rep. 2011 Apr;5(2):174-179. doi: 10.1007/s12170-010-0152-2. Epub 2011 Jan 6.