Pinho Claudio, Moreno Heitor, Saraiva José Francisco Kerr, Consolim-Colombo Fernanda Marciano
Pontifícia Universidade Católica de Campinas - Cardiologia, Campinas, SP - Brasil.
Clínica Pinho - Cardiologia, Valinhos, SP - Brasil.
Arq Bras Cardiol. 2025 Apr;122(3):e20240811. doi: 10.36660/abc.20240811.
Medicine is perhaps the only science that values knowledge of the most recent scientific publications more than its history over time. Medical epistemology shows that some mistakes and successes are so close that we often do not readily differentiate between them. The production of medical knowledge makes us understand that knowledge is transitory and theories need to be revalidated, rectified, or polished, if not destroyed and built again on other bases; paradigms that are renewed move science. With this critical view, it was necessary to access how much knowledge about arterial hypertension has been built over the last 130 years, since the measurement of blood pressure began to be widespread and become routine in medical practice until the present day. This critical review was focused on errors in the interpretation of acquired knowledge, seven of which have been identified, deeply discussed, and condemned as sins due to the delay in being recognized, thus allowing the lives of people with this cardiovascular pathology to be shortened.
医学或许是唯一一门更重视最新科学出版物知识而非其长期历史的科学。医学认识论表明，有些错误和成功是如此接近，以至于我们常常难以轻易区分它们。医学知识的产生让我们明白，知识是短暂的，理论需要重新验证、修正或完善，若不被推翻并在其他基础上重新构建的话；不断更新的范式推动着科学发展。基于这种批判性观点，有必要了解自血压测量开始在医学实践中广泛应用并成为常规操作直至如今的过去130年里，关于动脉高血压已经积累了多少知识。这篇批判性综述聚焦于对已获知识的解读错误，其中七种已被识别、深入讨论，并因其被认识到的延迟而被斥为罪过，从而导致患有这种心血管疾病的人的生命缩短。
