Smith W M
Calif Med. 1966 Nov;105(5):371-6.
The most exciting recent advances in the treatment of hypertension have been in our appreciation of the probable involvement of the kidney in all forms of hypertensive disease, in our improved understanding of the basic underlying mechanisms in some forms of the disease, and in the clarification of mechanisms of action of some of the most useful drugs. This permits us to diagnose more accurately and to administer therapy more rationally. Treatment of the mild and moderate stages of the disease, although not yet proved to reduce mortality and morbidity, would appear to be justified since pressure control is readily achieved with the relatively non-toxic drugs currently available.
我们认识到肾脏可能参与了所有类型的高血压疾病;我们对某些类型疾病的基本潜在机制有了更好的理解;以及对一些最有效药物的作用机制有了更清晰的认识。这使我们能够更准确地诊断并更合理地进行治疗。尽管尚未证明对轻度和中度高血压阶段的治疗能降低死亡率和发病率,但鉴于目前可用的相对无毒的药物能够轻易控制血压,这种治疗似乎是合理的。