Eliot R S
Cardiovascular Institute, Swedish Medical Center, Englewood, CO 80110-2796.
Am Heart J. 1988 Aug;116(2 Pt 2):682-6. doi: 10.1016/0002-8703(88)90569-8.
The definition of high blood pressure needs to be made more clinically relevant and predictive of future cardiovascular sequelae. Age, sex, genetic factors, diet, environment, behavior, and mental attitude can influence hemodynamics and cardiovascular outcomes. The greater the number of blood pressure determinations, the more valid the diagnosis of hypertension. Mean daily blood pressure determined by ambulatory monitoring is generally conceded to be the most significant prognosticator but is not suitable for routine use. Psychophysiologic stress testing may provide a means of estimating the mean daily blood pressure. Carbon dioxide rebreathing and other techniques being investigated may also provide useful hemodynamic measurements. Because of the adverse impacts of antihypertensive medications, nonpharmacologic approaches to treatment may be preferable where possible. Biofeedback and relaxation techniques have benefited certain persons. A comprehensive program that includes additional approaches has provided significant improvements and is briefly described. An overview of the conference presentations is also included.
高血压的定义需要在临床上更具相关性，并能预测未来的心血管后遗症。年龄、性别、遗传因素、饮食、环境、行为和心理态度都会影响血液动力学和心血管疾病的转归。血压测定的次数越多，高血压的诊断就越准确。动态监测所测定的每日平均血压通常被认为是最重要的预后指标，但不适合常规使用。心理生理应激测试可能提供一种估计每日平均血压的方法。正在研究的二氧化碳再呼吸及其他技术也可能提供有用的血液动力学测量结果。由于抗高血压药物存在不良影响，在可能的情况下，非药物治疗方法可能更可取。生物反馈和放松技术已使某些人受益。一个包含其他方法的综合方案已取得显著成效，并将作简要介绍。本文还包括会议报告的概述。
