Mt Sinai St Luke's and Roosevelt Hospitals, New York, NY.
The Chaim Sheba Medical Center, Tel Hashomer, Israel.
Am J Med. 2015 May;128(5):450-5. doi: 10.1016/j.amjmed.2014.11.015. Epub 2014 Dec 5.
Hypertension is a powerful risk factor strongly linked to adverse cardiovascular outcomes. Because of its high prevalence, health care providers at many levels are involved in treating hypertension. Distinct progress has been made in improving the rates of hypertension awareness and treatment over years, but the overall control of hypertension remains inadequate. Several recent guidelines from different sources have been put forward in an attempt to bridge the gap between existing evidence and clinical practice. Despite this effort, several misconceptions about treating hypertensive cardiovascular disease continue to persist among clinicians. This review highlights some of the misconceptions regarding antihypertensive therapy.
高血压是一种强有力的风险因素,与不良心血管结局密切相关。由于其高患病率,许多级别的医疗保健提供者都参与了高血压的治疗。多年来,在提高高血压知晓率和治疗率方面取得了显著进展,但高血压的总体控制仍然不足。为了弥合现有证据与临床实践之间的差距,来自不同来源的几项最新指南已经提出。尽管做出了这一努力,但临床医生对治疗高血压性心血管疾病仍存在一些误解。本综述强调了一些关于抗高血压治疗的误解。