Zeigler David, Patel Anish, Zeigler Candace
Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
S D Med. 2017;Spec No:43-46.
Hypertension is very prevalent in South Dakota affecting approximately one-third of the adult population. Management and treatment of the disease has recently been the subject of considerable debate centered on what should be the blood pressure goal depending on the patient's age and co-morbid conditions. Recently, a randomized trial of intensive versus standard blood pressure control indicated that a systolic blood pressure of less than 120 mmHg in patients at high risk for cardiovascular events but without diabetes, resulted in significantly lower rates of non-fatal major cardiovascular events and death from any cause. Several studies have also looked at goals for hypertensive patients with diabetes. This article will review some of these recent studies and controversies associated with them. Medication and non-medication recommendations for control of blood pressure will also be discussed.
高血压在南达科他州非常普遍，约影响三分之一的成年人口。该疾病的管理和治疗最近一直是相当多辩论的主题，辩论集中在根据患者年龄和合并症应设定何种血压目标。最近，一项关于强化血压控制与标准血压控制的随机试验表明，对于心血管事件高危但无糖尿病的患者，收缩压低于120 mmHg可显著降低非致命性重大心血管事件和任何原因导致的死亡发生率。几项研究也探讨了糖尿病高血压患者的血压目标。本文将回顾一些近期研究及其相关争议。还将讨论控制血压的药物和非药物建议。
