重视血压降低在初级和二级预防中的心血管益处:专注于目标和残留风险-系统性审查和元分析
Eleni Manta1, Costas Thomopoulos2, Maria Kariori1
1First Department of Cardiology, Hippokration General Hospital (E.M., M.K., D.P., D.K., K.T.), National and Kapodistrian University of Athens Medical School, Greece.
Hypertension (Dallas, Tex. : 1979)
|February 23, 2024
概括
降血压治疗的好处在各个患者群体中是一致的,即使在较低的目标. 虽然在二次预防中残留风险较高,但在初级预防中,随着系统血压目标降低,其降低.
科学领域:
- 心脏病学 心脏病学
- 临床试验 临床试验
- 公共卫生 公共卫生
背景情况:
- 研究了降血压 (BP) 治疗对各种BP目标的益处,按预防类别分层.
- 讨论了关于最佳BP目标的持续辩论:"越低越好.
结论:
- 在预防组中,降血压治疗的益处在预防组中一致,直至静脉血压最低点为125毫米升.
- 在初级预防中进一步降低血压目标可以降低残留风险,尽管二级预防仍然具有更高的基线风险.
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