高血压患者的医疗措施被认为是耐药的
Fadl Elmula M Fadl Elmula1,2, Julian Eek Mariampillai3, Sondre Heimark1,4,5
1Division of Medicine, Ullevaal University Hospital, Cardiorenal Research Centre, Oslo, Norway.
American journal of hypertension
|December 21, 2023
概括
耐性高血压患者面临高心血管风险. 解决药物不服药和次要原因对于有效的血压控制和管理至关重要.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 药理学 药理学是指药理学的学科.
背景情况:
- 抗性高血压 (RH) 在高血压患者中构成最高的心血管风险.
- 严格遵守高血压治疗指南对于控制血压 (BP) 在RH中至关重要.
研究的目的:
- 突出评估抗性高血压中药物不服药的重要性.
- 要区分明显的和真正的耐治疗高血压 (TRH).
主要方法:
- 强调根据患者表型量身定制的药理治疗.
- 强调了识别和管理不遵守的关键作用.
- 一旦坚持得到证实,建议对高血压的次要原因进行彻底的研究.
主要成果:
- 不遵守是管理RH最具挑战性的问题.
- 真正的TRH是在解决粘附问题和次要原因后才被诊断出来的.
- 耐药性高血压涉及服用≥5种药物的患者,需要对压力机制进行全面封锁.
结论:
- 持续的随访和药物审查对于管理RH至关重要.
- 药物坚持是一个动态的过程,需要持续评估.
- 有效的RH管理需要采取多方面的方法来解决坚持,次要原因和药物治疗.
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