协和医学杂志

2019, v.10(02) 117-121

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美国2017年高血压诊断标准有助于高血压防治理念与时俱进
The New Definition of Hypertension in 2017 ACC/AHA Hypertension Guideline May Boost Updating Strategies for Hypertension Prevention and Treatment

赵冬;
ZHAO Dong;Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing Institute of Heart,Lung & Blood Vessel Diseases;

摘要(Abstract):

高血压是导致中国居民心血管疾病发病和死亡风险增加首要且可改变的危险因素。由于大部分高血压患者病因不明,国内外高血压防治一直采用"以治为主"的策略,主要防治目标是提高高血压患者的知晓率、治疗率和控制率。因长期缺少遏制高血压发生的有效策略,我国高血压患病率在各个年龄组均不断增加,特别是在中青年人群有更明显的上升趋势。大量研究显示,血压值处于(130~139)/(80~89) mm Hg (1 mm Hg=0. 133 kPa)的人群最高危。2017年美国多个专业协会联合发布了全球高血压诊断新标准,将原140/90 mm Hg的高血压诊断标准下调至130/80 mm Hg,将发生高血压的高危人群直接纳入高血压范畴,并优先推荐生活方式的早期干预策略。本文对美国高血压诊断标准下调的动因和对我国高血压防治工作的借鉴意义进行分析和探讨。
Hypertension is the top modifiable cause for the incidence and mortality of cardiovascular disease in China. Because the etiology of hypertension is not clear in most of the patients,the current antihypertensive strategy focuses on its treatment rather than the prevention. The main goals are to increase the awareness rate,treatment rate,and control rate for patients with hypertension. Because of the lack of effective strategies to prevent the occurrence of hypertension,the prevalence rate of hypertension has been increasing in all age groups of adults in China,especially in young and middle-aged Chinese. Many studies show that people who have so-called prehypertension with systolic blood pressure of 130 to 139 mm Hg or diastolic blood pressure of 80 to 89 mm Hg have the highest risk of future hypertension. It is the first time in the world that the 2017 ACC/AHA hypertension guideline redefined hypertension by including prehypertension as stage 1 hypertension and recommended early lifestyle modification as the priority strategy for these patients. This article discussed the motivation and rationale of the new definition of hypertension issued by 2017 ACC/AHA,and analyzed the potential significance and positive impact on the development of the prevention and treatment of hypertension in China.

关键词(KeyWords): 高血压;诊断;标准
hypertension;diagnosis;criteria

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作者(Author): 赵冬;
ZHAO Dong;Beijing Anzhen Hospital Affiliated to Capital Medical University,Beijing Institute of Heart,Lung & Blood Vessel Diseases;

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