Chinese Academy of Medical Sciences FUWAI Hospital Hypertension Division, 167 Beilishilu West City District, 100037, Beijing People's Republic of China, China.
Adv Exp Med Biol. 2020;1177:149-268. doi: 10.1007/978-981-15-2517-9_6.
Hypertension is still the number one global killer. No matter what causes are, lowering blood pressure can significantly reduce cardiovascular complications, cardiovascular death, and total death. Unfortunately, some hypertensive individuals simply do not know having hypertension. Some knew it but either not being treated or treated but blood pressure does not achieve goal. The reasons for inadequate control of blood pressure are many. One important reason is that we are not very familiar with antihypertensive agents and less attention has been paid to comorbidities, complications as well as the hypertension-modified target organ damage in patients with hypertension. The right antihypertensive drug was not given to the right hypertensive patients at right time. This reviewer studied comprehensively the literature, hopefully that the review will help improve antihypertensive drug selection and antihypertensive therapy.
高血压仍然是头号全球杀手。无论病因是什么,降低血压都能显著减少心血管并发症、心血管死亡和全因死亡。不幸的是,一些高血压患者根本不知道自己患有高血压。有些患者虽然知道,但要么未接受治疗,要么治疗后血压仍未达标。血压控制不佳的原因很多。一个重要原因是我们对降压药物并不十分熟悉,对高血压患者的合并症、并发症以及高血压引起的靶器官损害关注较少。没有在适当的时间将合适的降压药物给到合适的高血压患者。本综述者全面研究了文献,希望这篇综述有助于改善降压药物选择和降压治疗。