Terpstra W F, Zijlstra F
Neth Heart J. 2005 May;13(5):186-189.
Decisions about the management of hypertensive patients should not be based on the level of blood pressure alone, but also on the presence of other risk factors, target organ damage and cardiovascular and renal disease. The results of echocardiography and carotid ultrasonography aids in the stratification of absolute cardiovascular risk as recently advocated by the guidelines of the European Society of Hypertension 2003. Therefore, the detection of target organ damage by ultrasound techniques allows an accurate identification of high-risk patients. Cardiovascular risk stratification only based on a simple routine work-up can often underestimate overall risk, thus leading to a potentially inadequate therapeutic management especially of low-medium risk patients.
高血压患者的管理决策不应仅基于血压水平，还应考虑其他危险因素的存在、靶器官损害以及心血管和肾脏疾病。正如欧洲高血压学会2003年指南所倡导的，超声心动图和颈动脉超声检查的结果有助于对绝对心血管风险进行分层。因此，通过超声技术检测靶器官损害能够准确识别高危患者。仅基于简单常规检查进行心血管风险分层往往会低估总体风险，从而导致治疗管理可能不足，尤其是对中低风险患者。
