Valsan Debbie, Burhan Umber, Teehan Geoffrey
Lankenau Medical Center, Lancaster Avenue, Suite 130, Wynnewood, PA, USA, 19096.
Adv Exp Med Biol. 2017;956:181-189. doi: 10.1007/5584_2016_38.
Conservatively, ten million people in the USA alone may suffer from RH and may be similarly prevalent elsewhere. Given the strong linear correlation between hypertension and cardiovascular outcomes, better control is paramount. We favor a multi-pronged approach. It may not suffice to address this by pharmacologic means only. Careful attention to modifiable risk factors, particularly sodium intake, adhering to a proper diet (i.e. DASH), and avoiding agents, i.e. non-steroidals, that can elevate the blood pressure, is key. Frequent follow up to establish the right treatment regimen and home blood pressuring monitoring can have a strong impact on control. Finally, consideration of device therapy may be a more viable option in the future.
保守估计，仅在美国就有1000万人可能患有难治性高血压（RH），其他地方可能也同样普遍。鉴于高血压与心血管疾病结局之间存在很强的线性相关性，更好地控制血压至关重要。我们赞成采取多管齐下的方法。仅通过药物手段来解决这个问题可能是不够的。密切关注可改变的风险因素，特别是钠的摄入量，坚持合理饮食（即得舒饮食），并避免使用可能升高血压的药物，如非甾体类药物，是关键。频繁随访以确定正确的治疗方案以及家庭血压监测对血压控制会有很大影响。最后，考虑器械治疗在未来可能是一个更可行的选择。
