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降压药应常规在睡前服用。内科医生对 Kreutz 等(2020 年)社论的批判性评价。降压药不应常规在睡前服用。我们必须忽略 HYGIA 项目的数据。血压。29(3):135-136。

Blood pressure medication should be routinely dosed at bedtime. An internist's critical appraisal of the editorial by Rainhold Kreutz et al. (2020). Blood pressure medication should not be routinely dosed at bedtime. We must disregard the data from the HYGIA project. Blood Pressure. 29 (3):135-136.

机构信息

President, Update em Medicina ; Lisboa, Portugal.

出版信息

Chronobiol Int. 2020 May;37(5):767-770. doi: 10.1080/07420528.2020.1781358. Epub 2020 Jul 20.

Abstract

The history of hypertension the past hundred years is a successful story of the fall of myths, beliefs, and assumptions under the weight of evidence. The recent editorial by Kreutz et al. (2020),, published in Blood Pressure, conveys unjustified concerns founded on baseless doubts and suspicions about the Hygia Chronotherapy Trial. The physicians of Portugal are beginning to incorporate into routine clinical practice the proven methods of the Hygia Chronotherapy Trial - 48-hour ambulatory blood pressure monitoring and bedtime hypertension chronotherapy - to improve in a cost-effective matter the diagnosis and management of hypertension and to reduce the overwhelming burden of cardiovascular morbidity and mortality in our country.

摘要

高血压的历史在过去的一百年中是一个成功的故事,它推翻了在证据面前显得苍白无力的假说、信念和设想。最近,Kreutz 等人在《血压》杂志上发表的社论(2020 年)对 Hygia 时间治疗试验表达了不必要的担忧,这些担忧基于对 Hygia 时间治疗试验的毫无根据的怀疑和猜测。葡萄牙的医生们开始将 Hygia 时间治疗试验的经过验证的方法(48 小时动态血压监测和睡前高血压时间治疗)纳入常规临床实践,以更具成本效益的方式改善高血压的诊断和管理,并降低我国心血管发病率和死亡率的巨大负担。

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