"必不可少"的动脉高血压:是时候改变范式了
Gian Paolo Rossi1,2, Domenico Bagordo2,3, Federico B Rossi2,3
1Internal & Emergency Medicine.
Journal of hypertension
|May 15, 2024
概括
基本高血压经常被过度诊断,掩盖了可治愈的二次高血压. 系统的调查显示,二次高血压是常见的和可治疗的,改善了患者的结果.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 临床实践 临床实践
背景情况:
- 基本高血压经常被诊断出没有系统地排除二次原因.
- 这种诊断方法导致基本高血压的高患病率,可能会忽视可治愈的疾病.
研究的目的:
- 审查基本高血压作为诊断的历史发展.
- 评估当前关于二次高血压患病率的科学证据.
主要方法:
- 关于高血压病因的最新研究的文献综述.
- 分析支持二次高血压患病率的证据.
主要成果:
- 最近的研究提供了强有力的证据,当系统地调查时,二次高血压是常见的.
- 二次性高血压的普遍性很高,挑战了基本高血压的主导地位的概念.
结论:
- 需要提高临床意识,以系统地寻找高血压的次要原因.
- 早期发现和治疗二次高血压可以改善血压控制和患者的生活质量.
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