应对不受控制的高血压挑战的实际解决方案:白皮书。

Josep Redon, Hans R Brunner, Claudio Ferri, Karl F Hilgers, Rainer Kolloch, Gert van Montfrans
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引用次数: 48

摘要

这份白皮书是一个国际医生组织对行动的紧急呼吁。持续未能控制高血压给患者、家庭和社会造成了不可接受的损失,必须加以解决。任何血压为140/90 mmHg或更高的患者都可以被定义为“挑战性患者”,存在重大风险,需要持续优化治疗直到达到目标血压。本文描述了实现这一血压目标的六个关键挑战:(1)初级预防不足;(2)风险意识不到位;(3)缺乏简洁性;(4)治疗惯性;(5)患者授权不足;(6)缺乏支持性的医疗体系。本白皮书确定了将迅速改善高血压管理的直接行动,其目的很简单:有效治疗所有有挑战性的患者,以达到血压目标,预防残疾和挽救生命。
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Practical solutions to the challenges of uncontrolled hypertension: a white paper.

This white paper is an urgent call to action from an international group of physicians. The continued failure to control hypertension takes an unacceptable toll on patients, families and society and it must be addressed. Any patient with blood pressure of 140/90 mmHg or greater can be characterized as a 'challenging patient', is at significant risk, and requires persistent optimization of therapy until target blood pressure is achieved. Six key challenges in reaching this goal blood pressure are described: (1) inadequate primary prevention; (2) faulty awareness of risk; (3) lack of simplicity; (4) therapeutic inertia; (5) insufficient patient empowerment; and (6) unsupportive healthcare systems. This white paper identifies straightforward actions that will produce rapid improvements in the management of hypertension, with a simple aim: to treat all challenging patients effectively to goal blood pressure, preventing disability and saving lives.

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