Aronow Wilbert S
Department of Medicine, Division of Cardiology, New York Medical College, Valhalla, NY.
Am J Ther. 2016 Jan-Feb;23(1):e218-23. doi: 10.1097/MJT.0b013e31827c5372.
Existing epidemiologic and clinical trial data suggest that the blood pressure in patients with hypertension at high risk for cardiovascular events because of coronary artery disease, diabetes mellitus, chronic kidney disease, stroke, or heart failure should be reduced to <140/90 mm Hg in patients younger than 80 years and the systolic blood pressure be reduced to 140-145 mm Hg if tolerated in patients aged 80 years and older. Studies from patients with coronary artery disease, diabetes mellitus, chronic kidney disease, stroke, and heart failure will be discussed that support a blood pressure goal of <140/90 mm Hg in patients younger than 80 years at high risk for cardiovascular events.
现有流行病学和临床试验数据表明，因冠状动脉疾病、糖尿病、慢性肾病、中风或心力衰竭而具有心血管事件高风险的高血压患者，80岁以下患者的血压应降至<140/90 mmHg，80岁及以上患者若能耐受，收缩压应降至140 - 145 mmHg。将讨论来自冠状动脉疾病、糖尿病、慢性肾病、中风和心力衰竭患者的研究，这些研究支持心血管事件高风险的80岁以下患者的血压目标<140/90 mmHg。
