Preventive Medicine Residency, Department of Family Medicine, University of North Carolina, Chapel Hill, USA.
Morehouse School of Medicine, Atlanta, GA, USA.
J Clin Hypertens (Greenwich). 2021 Feb;23(2):389-391. doi: 10.1111/jch.14164. Epub 2021 Jan 2.
Patients with hypertension have increased risk of sudden death, but the impact of blood pressure control in sudden death is not clear. To better understand potential opportunities to prevent sudden, we assessed blood pressure control, comorbidities, and the number of recent medical encounters among all-cause sudden death victims. Less than 40% of sudden death victims with hypertension had controlled blood pressure prior to death. Furthermore, increased frequency of medical visits and number of comorbidities were associated with better blood pressure control Strategies to address clinical inertia in hypertension treatment particularly for patients with fewer comorbidities may attenuate the risk of sudden death.
高血压患者有突发死亡的风险增加，但血压控制对突发死亡的影响尚不清楚。为了更好地了解预防突发死亡的潜在机会，我们评估了所有原因导致的突发死亡患者的血压控制、合并症和近期医疗接触次数。在死于高血压的突发死亡患者中，不到 40%的患者血压得到了控制。此外，就诊频率增加和合并症数量增加与更好的血压控制相关。解决高血压治疗中临床惰性的策略，特别是对于合并症较少的患者，可能会降低突发死亡的风险。
