新的(2018)欧洲高血压指南概述和评论

M. Mohsenibrahim
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摘要

版权所有:©2019 Mohsen Ibrahim M.这是一篇根据知识共享署名许可发布的开放获取文章,该许可允许在任何媒介上不受限制地使用、分发和复制,前提是原始作品得到适当引用。欧洲心脏病学会(ESC)和欧洲高血压学会(ESH)在2003年、2007年和2013年联合制定了一系列高血压指南。这两个协会于今年8月(2018年)发布了最新的指导方针,并发表在《欧洲心脏杂志》上。新指南印刷了90多页,基于广泛的文献回顾,涵盖了高血压的几乎所有方面,并优先考虑了随机对照试验的数据和良好的荟萃分析。在证据不足或没有证据的重要领域,指南的作者求助于专家意见。该文本是在大约24个月的时间里制定的,并由ESC和ESH国家高血压协会的代表进行了审查。虽然距离2013年的上一份高血压欧洲指南不到5年,但最近的2018年指南在诊断和治疗策略上显示出重要的差异,增加了关于高血压急诊管理、妇女和妊娠高血压、不同种族、慢性阻塞性肺疾病、癌症治疗、围手术期管理、性功能障碍和围手术期管理的新章节和建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The New (2018) European Hypertension Guidelines an overview & comments
Copyright: © 2019 Mohsen Ibrahim M. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited The European Society of Cardiology (ESC) and the European Society of Hypertension (ESH) jointly developed a series of hypertension guidelines in the years 2003, 207 and 2013. The most recent guidelines were issued by the two societies in August this year (2018) and were published in the European Heart Journal. The new guidelines are printed in more than 90 pages and cover almost all aspects of hypertension based on extensive review of literature giving highest priority to data from randomized controlled trials and well conducted meta-analysis. In important areas where there is inadequate or no evidence, guidelines authors resort to expert opinion. The text was developed over approximately 24 months and was reviewed by representatives of ESC and ESH national hypertension societies. Although it is less than ive years since the last hypertension European guidelines in 2013, the recent 2018 guidelines show important differences in diagnosis and treatment strategies with the addition of new sections and recommendations on management of hypertensive emergencies, hypertension in women and pregnancy, different ethnic groups, chronic obstructive pulmonary disease, cancer therapies, peri-operative management, sexual dysfunction and perioperative management.
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