COVID-19时代的高血压管理。逃离流行病的陷阱

Pub Date : 2021-01-01 DOI:10.5603/AH.A2021.0024
J. Wolf, K. Narkiewicz
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引用次数: 0

摘要

在本世纪第二个十年即将到来之际,在已经接受治疗的欧洲中老年患者中,控制高血压的比例估计约为30%至50%。专家们一致认为,不坚持药物治疗和医生相关的临床惰性是高血压管理的最大挑战。虽然降压药单丸组合(SPC)治疗为这一挑战提供了有效的解决方案,但使用SPC配方的患者比例低于预期。几个月的COVID-19大流行和反复的封锁对整个社会的健康状况产生了负面影响。专家报告说,在几个月的大流行过程中,大多数患者的总体心血管风险状况基本上恶化了。与不受控制的高血压聚集在一起的心血管危险因素加剧,需要立即采取行动。大力倡导广泛使用由长效降压剂组成的SPC配方似乎是有效的,并及时逃离这个陷阱。
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Hypertension management in the COVID-19 era. Getaway from pandemic snares
On the verge of the second decade of our millennium, controlled hypertension was estimated at the range of approximately 30% to 50% among those European middle-age and older patients who were already treated. Experts agree that non-adherence to pharmacotherapy and physician-related clinical inertia are the utmost challenge in hypertension management. Although treatment with blood pressure lowering drugs with single pill combination (SPC) offers effective solution to that  challenge, share of patients using SPC formulation is way under expectations. Few months of COVID-19 pandemic and repetitive lock-downs negatively impacted health condition of the whole societies. Experts report that overall cardiovascular risk profile of majority of patients worsened essentially over the course of several months of pandemic. Aggravated cardiovascular risk factors which clustered with uncontrolled hypertension calls for immediate action. Robust advocacy for wide use of SPC formulation composed of long-acting blood pressure lowering agents appears to be effective and timely getaway from this snare.
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