多学科方法治疗女性高血压。

IF 6.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Mayo Clinic proceedings Pub Date : 2024-12-29 DOI:10.1016/j.mayocp.2024.10.005
Niloofar Nobakht, Yalda Afshar, Marmar Vaseghi, Zhaoping Li, Ines Donangelo, Helen Lavretsky, Thalia Mok, Christina S Han, Susanne B Nicholas
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引用次数: 0

摘要

目前的临床实践指南是由几个组织制定的,以类似的方式指导男性和女性高血压的诊断和治疗,尽管数据显示潜在机制存在差异。很少有出版物提供了一个当代的和全面的回顾,集中在高血压的特征是独特的妇女在其生命谱。我们在1995年至2023年间使用PubMed、OVID、EMBASE和Cochrane图书馆数据库进行了计算机检索,突出了相关临床研究、女性高血压管理的挑战和女性高血压控制的多学科方法,包括种族和少数民族群体特有的问题。尽管我们目前了解管理女性高血压的潜在机制和策略,但仍存在许多挑战。在这里,我们讨论了导致女性高血压的潜在因素,生活方式改变和药物治疗在男性和女性之间的差异,睡眠的影响,以及认识到社会经济条件和获得护理的差异的重要性。本综述概述了未来研究的几个机会,以填补知识空白,通过多学科方法实现女性高血压的最佳控制,特别是与性别特异性治疗方法相关,同时考虑社会经济条件和绝经前到绝经过渡的生命阶段。
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Hypertension Management in Women With a Multidisciplinary Approach.

Current clinical practice guidelines were established by several organizations to guide the diagnosis and treatment of hypertension in men and women in a similar manner despite data demonstrating differences in underlying mechanisms. Few publications have provided a contemporary and comprehensive review focused on characteristics of hypertension that are unique to women across their life spectrum. We performed a computerized search using PubMed, OVID, EMBASE, and Cochrane library databases between 1995 and 2023 that highlighted relevant clinical studies, challenges to the management of hypertension in women, and multidisciplinary approaches to hypertension control in women, including issues unique to racial and ethnic minority groups. Despite our current understanding of underlying mechanisms and strategies to manage hypertension in women, numerous challenges remain. Here, we discuss potential factors contributing to hypertension in women, differences related to effects of lifestyle modifications and drug therapy between men and women, the impact of sleep, and the importance of recognizing disparities in socioeconomic conditions and access to care. This review outlines several opportunities for future studies to fill gaps in knowledge to achieve optimal control of hypertension in women using a multidisciplinary approach, particularly related to sex-specific treatment approaches while considering socioeconomic conditions and life stages from premenopause through the transition to menopause.

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来源期刊
Mayo Clinic proceedings
Mayo Clinic proceedings 医学-医学:内科
CiteScore
16.80
自引率
1.10%
发文量
383
审稿时长
37 days
期刊介绍: Mayo Clinic Proceedings is a premier peer-reviewed clinical journal in general medicine. Sponsored by Mayo Clinic, it is one of the most widely read and highly cited scientific publications for physicians. Since 1926, Mayo Clinic Proceedings has continuously published articles that focus on clinical medicine and support the professional and educational needs of its readers. The journal welcomes submissions from authors worldwide and includes Nobel-prize-winning research in its content. With an Impact Factor of 8.9, Mayo Clinic Proceedings is ranked #20 out of 167 journals in the Medicine, General and Internal category, placing it in the top 12% of these journals. It invites manuscripts on clinical and laboratory medicine, health care policy and economics, medical education and ethics, and related topics.
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