高血压领域的几个热点话题

• 作 者: 郭艺芳
• 机 构: 河北省人民医院老年心脏科,
• 出 处: 中华高血压杂志
• 发表日期: 2015年04期
• 关键词: 药物治疗 降压药物 靶器官损害 systolic 冠心病死亡 动静脉分流 动脉弹性 复合终点 正常高值血压 静脉侧支循环

近两年来发表的几项关于高血压的临床研究,为我们提供了一些新信息。现简要作如下介绍。1年轻人单纯收缩期高血压是否需要药物治疗高血压的表现形式与年龄密切相关。老年高血压患者常表现为单纯收缩期高血压(isolated systolic hypertension,ISH),而年轻患者中单纯舒张压增高更为常见。然而,少数年轻人也可以表现为ISH,这些患者是否需要药物治疗尚存争议。O’Rourke等[1]认为,年轻人与老年人ISH的血流

Several published clinical studies on hypertension in the past two years have provided us with some new information. Now briefly as follows. A simple systolic hypertension in young people need medical treatment of hypertension manifestations are closely related with age. Elderly hypertensive patients often show isolated systolic hypertension (ISH), but young patients with elevated diastolic blood pressure is more common. However, a small number of young people can also show up as ISH, and whether these patients need medication is controversial. O’Rourke et al [1] believe that young people and elderly ISH blood flow