Division of Nephrology and Hypertension, Groote Schuur Hospital; Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa. Email:
Faculty of Medicine, Eduardo Mondlane University; Research Unit, Department of Medicine, Maputo Central Hospital, Maputo, Mozambique.
Cardiovasc J Afr. 2020 Nov-Dec;31(6):325-329. doi: 10.5830/CVJA-2020-055.
Hypertension guidelines have been based on country-specific data until the publication of the International Society of Hypertension (ISH) global guidelines. The major differences between the ISH global guidelines and other international guidelines are the stratified recommendations to accommodate differences in available resources between countries and within countries. This is a key and novel proposal in the new ISH guidelines. There is the separation of optimal versus essential criteria for diagnosis and treatment according to availability of resources. This guideline includes recommendations for sub-Saharan Africa. The Pan-African Society of Cardiology (PASCAR) continues to promote awareness and recommendations on hypertension in Africa. This commentary provides a summary and discussion of the global guidelines in order to clarify the position of PASCAR.
高血压指南一直基于特定国家的数据，直到国际高血压学会（ISH）全球指南的发布。ISH 全球指南与其他国际指南的主要区别在于分层建议，以适应国家之间和国家内部可用资源的差异。这是新 ISH 指南中的一个关键和新颖的建议。根据资源的可用性，将诊断和治疗的最佳标准与基本标准分开。该指南包括对撒哈拉以南非洲的建议。泛非心脏病学会（PASCAR）继续在非洲提高对高血压的认识并提出相关建议。本评论提供了对全球指南的总结和讨论，以阐明 PASCAR 的立场。
