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资源有限环境下的高血压管理方法:在后新冠时代克服高血压危机的策略

Approaches to the Management of Hypertension in Resource-Limited Settings: Strategies to Overcome the Hypertension Crisis in the Post-COVID Era.

作者信息

Skeete Jamario, Connell Kenneth, Ordunez Pedro, DiPette Donald J

机构信息

Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, Chicago, IL, USA.

Faculty of Medical Sciences, University of the West Indies, Cave Hill Campus, St. Michael, Barbados.

出版信息

Integr Blood Press Control. 2020 Sep 28;13:125-133. doi: 10.2147/IBPC.S261031. eCollection 2020.

Abstract

The COVID-19 pandemic has changed most aspects of everyday life in both the non-medical and medical settings. In the medical world, the pandemic has altered how healthcare is delivered and has necessitated an aggressive and new coordinated public health approach to limit its spread and reduce its disease burden and socioeconomic impact. This pandemic has resulted in a staggering morbidity and mortality and massive economic and physical hardships. Meanwhile, non-communicable diseases such as hypertension, diabetes mellitus, and cardiovascular disease in general continue to cause significant disease burden globally in the background. Though presently receiving less attention in the public eye than the COVID-19 pandemic, the hypertension crisis cannot be separated from the minds of healthcare providers, policymakers and the general public, as it continues to wreak havoc, particularly in vulnerable populations in resource limited settings. On this background, many of the strategies being employed to combat the COVID-19 pandemic can be used to re-energize and galvanize the fight against hypertension and hopefully bring the public health crisis associated with uncontrolled hypertension to an end.

摘要

新冠疫情改变了非医疗和医疗环境中日常生活的大多数方面。在医学界,疫情改变了医疗服务的提供方式,并且需要采取积极的新型协调公共卫生方法来限制其传播,减轻其疾病负担和社会经济影响。这场疫情导致了惊人的发病率和死亡率以及巨大的经济和物质困难。与此同时,诸如高血压、糖尿病和心血管疾病等非传染性疾病总体上在全球范围内继续造成重大疾病负担。尽管目前在公众眼中受到的关注比新冠疫情少,但高血压危机无法从医疗服务提供者、政策制定者和公众的脑海中被剥离,因为它仍在肆虐,尤其是在资源有限环境中的弱势群体中。在此背景下,许多用于抗击新冠疫情的策略可用于重振和激励抗击高血压的斗争,并有望结束与高血压控制不佳相关的公共卫生危机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2d8/7532072/a3b7ea5074e3/IBPC-13-125-g0001.jpg

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