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合并心血管疾病的高血压患者强化降压治疗研究进展

张茸祯 贾敏 娄豆豆 王霄霄 王亮 王汝涛 陶凌

新医学2024,Vol.55Issue(4):248-254,7.
新医学2024,Vol.55Issue(4):248-254,7.DOI:10.3969/j.issn.0253-9802.2024.04.002

合并心血管疾病的高血压患者强化降压治疗研究进展

Advances in intensive antihypertensive treatment in hypertensive patients complicated with cardiovascular disease

张茸祯 1贾敏 2娄豆豆 1王霄霄 1王亮 3王汝涛 1陶凌1

作者信息

  • 1. 710000 西安,空军军医大学西京医院心内科
  • 2. 710000 西安,空军军医大学西京医院心内科||710032 西安,空军军医大学基础医学院生理与病理生理学教研室
  • 3. 250200 济南,济南市章丘区人民医院心内科
  • 折叠

摘要

Abstract

Hypertension is a serious public health problem worldwide and a major risk factor for cardiovascular disease.Hypertensive patients are constantly complicated with cardiovascular disease.Effective blood pressure control could improve clinical prognosis of these patients.In June 2023,2023 ESH Guidelines for the management of arterial hypertension were released with updated recommendations for the timing of starting antihypertensive therapy.For patients with normal high-value blood pressure with prior cardiovascular disease,the guidelines recommend initiating antihypertensive therapy from 130/80 mmHg.The 2023 edition of the Chinese Guidelines for the Prevention and Control of Hypertension also recommends that the target blood pressure for those with high and very high cardiovascular risk can be further reduced to less than 130/80 mmHg.This suggests that greater clinical benefit can be achieved from intensive blood pressure control in hypertensive patients with comorbid cardiovascular disease.In recent years,multiple studies have shown the advantages of intensive blood pressure management in hypertensive patients.In this article,the progress in clinical studies related to intensive blood pressure control in hypertensive populations complicated with different cardiovascular diseases was reviewed,aiming to provide insight and evidence for intensive antihypertensive treatment in these patients.

关键词

高血压/强化降压/冠心病/心力衰竭/心房颤动

Key words

Hypertension/Intensive antihypertensive treatment/Coronary heart disease/Heart failure/Atrial fibrillation

引用本文复制引用

张茸祯,贾敏,娄豆豆,王霄霄,王亮,王汝涛,陶凌..合并心血管疾病的高血压患者强化降压治疗研究进展[J].新医学,2024,55(4):248-254,7.

基金项目

陕西省重点研发计划国际科技合作计划项目(2023-GHYB-12) (2023-GHYB-12)

新医学

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