2018年欧洲心脏病学会和欧洲高血压学会高血压管理指南解读
诸葛瑞琪,刘梅林
摘要(Abstract):
<正>高血压是导致心血管疾病和死亡的重要原因[1]。2018年8月,欧洲心脏病学会(European Society of Cardiology,ESC)和欧洲高血压学会(European Society of Hypertension,ESH)联合发布2018年高血压管理指南(以下简称《2018年指南》),强调在全球范围内,超过10亿人患有高血压。随着人口老龄化和久坐不动的生活方式,2025年高血压患者将增至15亿。血压升高是导致过早死亡的首要因素,2015年导致近1000万人死亡,其中490万人死于缺血性心脏病、350万人死于卒中。
关键词(KeyWords): 高血压管理指南;欧洲心脏病学会;欧洲高血压学会;指南解读
基金项目(Foundation):
作者(Author): 诸葛瑞琪,刘梅林
参考文献(References):
- [1]NCD Risk Factor Collaboration(NCD-Ris C).Worldwide trends in blood pressure from 1975 to 2015:a pooled analysis of 1479population-bas based measurement studies with 19.1 million participants.Lancet,2017,389(10064):37-55.
- [2]Williams B,Mancia G,Spiering W,et al.2018 ESC/ESH Guidelines f or the management of arterial hypertension:The Task Force for the management of arterial hypertension of the European Society of Cardiology(ESC)and the European Society of Hypertension(ESH).Eur Heart J,2018,39(33):3021-3104.
- [3]Williamson JD,Supiano MA,Applegate WB,et al.Intensive vs standard blood pressure control and cardiovascular disease outcomes in adults aged≥75 years:a randomized clinical trial.JAMA,2016,315(24):2673-2682.
- [4]Kjeldsen SE,Lund-Johansen P,Nilsson PM,et al.Unattended Blood Pressure Measurements in the Systolic Blood Pressure Intervention Trial:Implications for Entry and Achieved Blood Pressure Values Compared With Other Trials.Hypertension,2016,67(5):808-812.
- [5]B?hm M,Schumacher H,Teo KK,et al.Achieved blood pressure and cardiovascular outcomes in high-risk patients:results from ONTARGET and TRANSCEND trials.Lancet,2017,389(10085):2226-2237.
- [6]Whelton PK,Carey RM,Aronow WS,et al.2017 ACC/AHA/A A PA/A BC/ACPM/AGS/A Ph A/ASH/ASPC/N M A/PC N A Guideline f or the Prevention,Detection,Evaluation,and Management of High Blood Pressure in Adults:A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.Hypertension,2018,71(6):e13-e115.