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Decisions about antihypertensive treatment should focus on reducing cardiovascular risk.

作者信息

Kahan Thomas

机构信息

Karolinska Institute, Department of Clinical Sciences, Danderyd Hospital, Division of Cardiovascular Medicine, Stockholm, Sweden; Department of Cardiology, Danderyd University Hospital Corporation, SE-182 88, Stockholm, Sweden.

出版信息

Lancet. 2021 May 1;397(10285):1598-1599. doi: 10.1016/S0140-6736(21)00877-1.

DOI:10.1016/S0140-6736(21)00877-1
PMID:33933193
Abstract
摘要

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Decisions about antihypertensive treatment should focus on reducing cardiovascular risk.关于抗高血压治疗的决策应侧重于降低心血管风险。
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Fear of Lowering Cardiovascular Risk by Achieving Blood Pressure Goals: The Irrationality of Combination Therapy Avoidance.因实现血压目标而担心降低心血管风险:避免联合治疗的不合理性。
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Clinical and translational science in cardiovascular research: highlights from the American Heart Association Scientific Sessions 2017: Changing view on the concept of cardiovascular risk and blood pressure targets.心血管研究中的临床与转化科学:2017年美国心脏协会科学会议亮点:对心血管风险概念和血压目标的观念转变
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Comments: Absolute cardiovascular risk assessment for guiding antihypertensive prescribing in Australian primary care patients with hypertension.评论:澳大利亚高血压初级护理患者中用于指导抗高血压药物处方的绝对心血管风险评估。
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Largest meta-analysis to date suggests that patients at risk for cardiovascular disease events derive benefit from antihypertensive therapy regardless of baseline blood pressure and to reduce vascular events, lowering blood pressure is more important than choice of antihypertensive drug class.迄今为止最大规模的荟萃分析表明,有心血管疾病事件风险的患者无论基线血压如何,均可从抗高血压治疗中获益,且为降低血管事件风险,降低血压比选择抗高血压药物类别更为重要。
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Who is fooling us?谁在愚弄我们?
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Systolic blood pressure target less than 120 mmHg: the 'Chariot Allegory' in hypertension?收缩压目标低于120 mmHg:高血压领域的“战车寓言”?
J Hypertens. 2020 Aug;38(8):1462-1463. doi: 10.1097/HJH.0000000000002458.

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Interventions for reducing blood pressure in prehypertension: A meta-analysis.降压前期干预降低血压的效果:一项荟萃分析。
Front Public Health. 2023 Mar 23;11:1139617. doi: 10.3389/fpubh.2023.1139617. eCollection 2023.
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Is hypertension associated with arthritis? The United States national health and nutrition examination survey 1999-2018.高血压与关节炎有关吗?美国国家健康与营养调查 1999-2018 年。
Ann Med. 2022 Dec;54(1):1767-1775. doi: 10.1080/07853890.2022.2089911.