Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Canada.
Department of Medicine and Health Sciences, McGill University, Montreal, Canada.
Ann Med. 2024 Dec;56(1):2338242. doi: 10.1080/07853890.2024.2338242. Epub 2024 Apr 11.
Essential hypertension, a prevalent cardiovascular condition, poses a significant health burden worldwide. Based on the latest American clinical guidelines, half of adults in the United States have hypertension. Of these, only about a half are treated and about a quarter are adequately controlled for hypertension. Given its impact on morbidity and mortality, ensuring effective management of high blood pressure is crucial to reduce associated risks and improve patient outcomes. This review aims to provide a comprehensive and up-to-date summary of the latest cardiology guidelines and evidence-based research on essential hypertension, with a focus on guiding outpatient clinical practice. The review evaluates both non-pharmacological approaches and pharmacological interventions to offer clinicians practical insights. Notably, it emphasizes the importance of individualized treatment plans tailored to patients' specific risk profiles and comorbidities. By consolidating the latest advancements in hypertension management, this review provides clinicians with an up-to-date reference, offering a nuanced understanding of treatment goals and strategies. Through the incorporation of evidence-based recommendations, healthcare practitioners can optimize patient care, mitigate potential complications, and improve overall outcomes in essential hypertension.
原发性高血压是一种常见的心血管疾病,在全球范围内给人们的健康带来了沉重的负担。根据美国最新的临床指南,美国有一半的成年人患有高血压。其中,只有大约一半的人接受了治疗,而只有大约四分之一的人得到了充分的高血压控制。鉴于其对发病率和死亡率的影响,确保有效管理高血压对于降低相关风险和改善患者预后至关重要。本篇综述旨在提供原发性高血压最新心脏病学指南和循证研究的全面、最新总结,重点是指导门诊临床实践。该综述评估了非药物治疗方法和药物干预措施,为临床医生提供了实用的见解。值得注意的是,它强调了根据患者特定的风险状况和合并症制定个体化治疗计划的重要性。通过整合高血压管理方面的最新进展,本篇综述为临床医生提供了最新的参考,使他们对治疗目标和策略有了更深入的理解。通过纳入基于证据的推荐意见,医疗保健从业者可以优化患者的护理,减轻潜在的并发症,并改善原发性高血压的整体预后。