高血压急症与亚急症的最新进展。
An update on hypertensive emergencies and urgencies.
作者信息
Muiesan Maria Lorenza, Salvetti Massimo, Amadoro Valentina, di Somma Salvatore, Perlini Stefano, Semplicini Andrea, Borghi Claudio, Volpe Massimo, Saba Pier Sergio, Cameli Matteo, Ciccone Marco Matteo, Maiello Maria, Modesti Pietro Amedeo, Novo Salvatore, Palmiero Pasquale, Scicchitano Pietro, Rosei Enrico Agabiti, Pedrinelli Roberto
机构信息
aDepartment of Clinical and Experimental Sciences University of Brescia, 25100 Spedali Civili, Brescia bDepartment of Medical-Surgery Sciences and Translational Medicine, Emergency Department, University La Sapienza, Sant'Andrea Hospital Rome, Rome cDepartment of Internal Medicine and Therapeutics, University of Pavia, Lombardy dDepartment of Internal Medicine 1, USL12 Veneziana, Venice eDepartment of Medicine, University of Padua, Padova fDepartment of ScienzeMediche e Chirurgiche, S.Orsola-Malpighi University Hospital, Bologna gDivision of Cardiology, Department of Medicina Clinica e Molecolare, University Roma 'Sapienza' - Azienda Ospedaliera Sant'Andrea, and IRCCS Neuromed, Rome hDivision of Cardiology, AOU Sassari, Sassari iDepartment of Cardiovascular Diseases, University of Siena, Tuscany jCardiovascular Disease Section, Department of Emergency and Organ Tranplantation, University of Bari, Bari kAS Department of Cardiology, Brindisi District, Brindisi lDepartment of Clinical and Experimental Medicine, University of Florence, Florence mDepartment of Internal Medicine and Cardiovascular Diseases, University of Palermo, Palermo nDipartimento di Patologia Chirurgica, Medica, Molecolare e dell'Area Critica, Università di Pisa, Pisa, Italy.
出版信息
J Cardiovasc Med (Hagerstown). 2015 May;16(5):372-82. doi: 10.2459/JCM.0000000000000223.
Severe acute arterial hypertension is usually defined as 'hypertensive crisis', although 'hypertensive emergencies' or 'hypertensive urgencies', as suggested by the Joint National Committee and the European Society of Hypertension, have completely different diagnostic and therapeutic approaches.The prevalence and demographics of hypertensive emergencies and urgencies have changed over the last four decades, but hypertensive emergencies and urgencies are still associated with significant morbidity and mortality.Different scientific societies have repeatedly produced up-to-date guidelines; however, the treatment of hypertensive emergencies and urgencies is still inappropriate, with potential clinical implications.This review focuses on hypertensive emergencies and urgencies management and treatment, as suggested by recent data.
重度急性动脉性高血压通常被定义为“高血压危象”，尽管美国国立联合委员会和欧洲高血压学会所提出的“高血压急症”或“高血压亚急症”有着完全不同的诊断和治疗方法。在过去的四十年间，高血压急症和亚急症的患病率及人口统计学特征有所变化，但高血压急症和亚急症仍与显著的发病率和死亡率相关。不同的科学学会多次制定了最新指南；然而，高血压急症和亚急症的治疗仍存在不当之处，并具有潜在的临床影响。根据近期数据，本综述聚焦于高血压急症和亚急症的管理与治疗。
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