Delucchi A, Marín M, Páez O, Bendersky M, Rodríguez P
Sociedad Argentina de Cardiología.
Sociedad Argentina de Hipertensión Arterial.
Hipertens Riesgo Vasc. 2019 Apr-Jun;36(2):96-109. doi: 10.1016/j.hipert.2019.01.001. Epub 2019 Feb 27.
A summary is presented in this article of the principal concepts of the Argentine Consensus on Arterial Hypertension, which has been carried out for the first time jointly by the three main scientific societies associated with the diagnosis and treatment of arterial hypertension in Argentina (Argentine Society of Arterial Hypertension, Argentine Society of Cardiology and Argentine Federation of Cardiology). Among its main points, is emphasised the need to improve the diagnosis and control of high blood pressure, the use of ambulatory blood pressure measurement techniques, the importance of the risk stratification of the hypertensive patient, and the early use of pharmacological combinations in the treatment as a means to quickly achieve control. Finally, it lists the main recommendations for the management of hypertension in special populations, such as pregnant women, elderly people, diabetics, resistant patients, as well as patients with chronic kidney disease.
本文对阿根廷高血压共识的主要概念进行了总结,该共识首次由阿根廷与动脉高血压诊断和治疗相关的三个主要科学协会(阿根廷动脉高血压协会、阿根廷心脏病学会和阿根廷心脏病学联合会)联合开展。其中重点强调了改善高血压诊断和控制的必要性、动态血压测量技术的使用、高血压患者风险分层的重要性以及在治疗中早期使用药物联合治疗作为快速实现控制的手段。最后,列出了针对特殊人群(如孕妇、老年人、糖尿病患者、难治性患者以及慢性肾病患者)高血压管理的主要建议。