美国心脏病学会/美国心脏协会新标准对高血压诊断患病率的影响。
Impact of the new criteria of the ACC/AHA on the diagnostic prevalence of hypertension.
作者信息
Baena Díez José Miguel, Carrera Morodo María, Corral Roca Miriam, Calatayud Subías Eva, Flores Jiménez Iris, de la Arada Acebes Ana María
机构信息
Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España; IDIAP Jordi Gol, Institut Catalá de la Salut , Barcelona, España.
Centro de Salud La Marina, SAP Esquerra Barcelona, Institut Catalá de la Salut, Barcelona, España.
出版信息
Med Clin (Barc). 2020 Apr 10;154(7):254-256. doi: 10.1016/j.medcli.2019.06.021. Epub 2019 Aug 31.
OBJECTIVE
To study the impact on the prevalence of hypertension with the criteria (2017) of the American College of Cardiology/American Heart Association (ACC/AHA).
PATIENTS AND METHODS
Cross-sectional study, including 370 patients ≥18 years, randomly selected in a Health Centre, with at least one visit and a measurement of systolic (SBP) and diastolic blood pressure (DBP) recorded the last 2 years. Previous hypertension was considered if the diagnosis was confirmed or they had an SBP ≥140 or DBP ≥90mmHg and as ACC/AHA AHT criteria in any of these cases or an SBP between 130-139mmHg or DBP between 80-89mmHg.
RESULTS
The average age was 52.3 years (58.6% women). Forty-one point nine percent had previous hypertension, increasing to 67.8% with the ACC/AHA criteria (p <.05). Pharmacological treatment was received by 32.2% of the population, increasing to 38.4% with the ACC/AHA criteria (p>.05). The newly diagnosed patients (p <.05) were younger (mean difference 19.6 years) and less obese (23% vs. 41.4%).
CONCLUSIONS
The ACC/AHA criteria would represent an increase of 25.9% in the prevalence of hypertension, considering 2 out of 3 adults hypertensive.
目的
研究美国心脏病学会/美国心脏协会（ACC/AHA）2017年标准对高血压患病率的影响。
患者与方法
横断面研究，纳入370例年龄≥18岁的患者，在一家健康中心随机选取，过去2年至少有一次就诊记录且测量了收缩压（SBP）和舒张压（DBP）。如果诊断得到证实，或者收缩压≥140mmHg或舒张压≥90mmHg，以及在这些情况中的任何一种符合ACC/AHA AHT标准，或者收缩压在130 - 139mmHg之间或舒张压在80 - 89mmHg之间，则视为既往有高血压。
结果
平均年龄为52.3岁（女性占58.6%）。41.9%的患者既往有高血压，按照ACC/AHA标准这一比例增至67.8%（p < 0.05）。32.2%的人群接受了药物治疗，按照ACC/AHA标准这一比例增至38.4%（p > 0.05）。新诊断的患者更年轻（平均差异19.6岁）且肥胖程度更低（23%对41.4%）（p < 0.05）。
结论
考虑到三分之二的成年人患有高血压，ACC/AHA标准将使高血压患病率增加25.9%。
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