治疗高血压和心血管疾病患者的血压目标

Q4 Nursing
Victoria L. Boggiano, Gary N. Asher
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引用次数: 0

摘要

高血压是可以避免的早期发病和死亡的主要原因。患有高血压和已确诊心血管疾病的人尤其容易受到影响;因此,将血压降到建议水平以下可能是有益的。这种技术有可能降低心血管死亡率和发病率,但也有可能增加不良事件。对于患有高血压和心血管疾病的人来说,理想的血压目标尚不确定。在治疗高血压和心血管疾病(心肌梗死、心绞痛、中风、外周血管闭塞性疾病)患者时,"较低 "血压目标值(135 mmHg/85 mmHg)是否比 "标准 "血压目标值(140 mmHg 至 160 mmHg/90 mmHg 至 100 mmHg)能降低死亡率和发病率。高血压常见于心脏或血管疾病患者。对于有心脏或血管疾病史的人,某些临床指南建议其血压目标值(135 毫米汞柱/85 毫米汞柱或更低)低于无心脏或血管疾病史的人(正常血压目标值为收缩压 140 毫米汞柱至 160 毫米汞柱,舒张压 90 毫米汞柱至 100 毫米汞柱)。目前还不确定降低目标值是否会改善整体健康状况
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Blood pressure targets for the treatment of people with hypertension and cardiovascular disease
Hypertension is a leading cause of early morbidity and mortality that can be avoided. People with hypertension and established cardiovascular disease are especially vulnerable; therefore lowering blood pressure below recommended levels could be beneficial. This technique has the potential to reduce cardiovascular mortality and morbidity, but it also has the potential to increase adverse events. In persons with hypertension and established cardiovascular disease, the ideal blood pressure target is uncertain. To see if 'lower' blood pressure targets (135 mmHg/85 mmHg) in the treatment of people with hypertension and a history of cardiovascular disease are associated with lower mortality and morbidity than' standard' blood pressure targets (140 mmHg to 160 mmHg/90 mmHg to 100 mmHg) in the treatment of people with hypertension and a history of cardiovascular disease (myocardial infarction, angina, stroke, peripheral vascular occlusive disease). High blood pressure is common in persons who have heart or vascular disorders. In those with a history of cardiac or vascular problems, certain clinical guidelines propose a lower blood pressure goal (135 mmHg/85 mmHg or lower) than in those without (normal blood pressure goals are 140 mmHg to 160 mmHg systolic and 90 mmHg to 100 mmHg diastolic). It's uncertain whether the reduced targets result in improved overall health
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来源期刊
Evidence-Based Practice
Evidence-Based Practice Nursing-Fundamentals and Skills
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