2017年ACC/AHA高血压指南对美国人口的潜在影响
Paul Muntner1, Robert M Carey2, Samuel Gidding3
1Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama (P.W.) pmuntner@uab.edu.
Circulation
|November 15, 2017
概括
与JNC7相比,2017年ACC/AHA高血压指南显著增加了美国成年人诊断的高血压患病率. 它还建议更多的药物治疗和密集的血压控制.
科学领域:
- 心脏病学
- 公共卫生
- 流行病学
背景情况:
- 2017年美国心脏病学会/美国心脏协会 (ACC/AHA) 准则提供了高血压管理的最新建议.
- 这些指导方针定义高血压,确定药物开始的血压值,并设定目标血压目标.
研究的目的:
- 将2017年ACC/AHA指南和JNC7指南之间的高血压和治疗建议进行比较.
- 根据两项指导标准,评估美国成年人中不受控制的血压的患病率.
主要方法:
- 2011-2014年国家健康和营养检查调查数据分析 (N=9,623).
- 标准化,三倍的血压测量是美国人口估计的平均值和权重.
主要成果:
- 与JNC7 (31.9%) 相比,2017年ACC/AHA指南发现高血压的患病率更高 (45.6%).
- 在ACC/ AHA中,建议服用抗高血压药物,而在JNC7中,这一比例为34. 3%.
- 超过一半 (53.4%) 接受药物治疗的美国成年人血压高于ACC/AHA的目标,而JNC的比例为39.0%.
结论:
- 2017年ACC/AHA指南导致诊断高血压的发生率大幅增加.
- 这导致药物推的适度增加和治疗个体的更密集的血压控制目标.
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