El-Deeb Mohammed H, Sulaiman Kadhim J, Al-Riyami Abdullah A, Mohsin Nabil, Al-Mukhaini Mohamed, Al-Lamki Mohamed, Al-Busaidi Noor, Al-Salmi Issa, Al-Lawati Jawad, Al-Rawahi Najib, Al-Riyami Mohamed B, Abdul-Rahman Said, Al-Hinai Said, Jaffer Batool, Al-Wahaebi Ahmed, Al-Khalili Hanan, Al-Zadjali Matllooba
Ministry of Health, Muscat, Sultanate of Oman,
High Blood Press Cardiovasc Prev. 2015 Mar;22(1):83-97. doi: 10.1007/s40292-014-0074-z. Epub 2014 Nov 18.
Hypertension (HTN) is a major independent risk factor for the development of stroke, coronary artery disease (CAD), peripheral arterial disease (PAD), heart failure (HF) and chronic kidney disease (CKD). HTN is a growing public health problem in Oman, almost certainly the most prevalent modifiable risk factor for cardiovascular disease (CVD). The risk of CVD in patients with HTN can be greatly reduced with lifestyle modifications and effective antihypertensive therapy. Randomized trials have shown that blood pressure (BP) lowering produces rapid reductions in CV risk. Several studies have shown that the majority of the hypertensive patients remain uncontrolled. It is well established that the observed poor control of the disease is not only related to poor adherence to medications, but also to limited awareness and adherence to evidence-based management of hypertension among physicians. Several guidelines for the management of patients with hypertension have been published. However, the aim of this document is to provide the busy physicians in Oman with more concise and direct approach towards implementing these guidelines into clinical practice.
高血压（HTN）是发生中风、冠状动脉疾病（CAD）、外周动脉疾病（PAD）、心力衰竭（HF）和慢性肾脏病（CKD）的主要独立危险因素。在阿曼，高血压是一个日益严重的公共卫生问题，几乎可以肯定是心血管疾病（CVD）最常见的可改变危险因素。通过生活方式改变和有效的抗高血压治疗，高血压患者发生心血管疾病的风险可大大降低。随机试验表明，降低血压可迅速降低心血管风险。多项研究表明，大多数高血压患者的血压仍未得到控制。众所周知，该病控制不佳不仅与药物依从性差有关，还与医生对高血压循证管理的认识和依从性有限有关。已经发布了多项高血压患者管理指南。然而，本文档的目的是为阿曼忙碌的医生提供一种更简洁、直接的方法，以便将这些指南应用于临床实践。
