实现血压控制率<130/80 mmHg作为实施高血压的核心指标,基于新的JSH2025和AHA/ACC2025指南
1Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University School of Medicine, Tochigi, Japan. kkario@jichi.ac.jp.
概括
新的高血压指南的目标是<130/80 mmHg以更好地控制血压 (BP). 建议使用统一的指标"达到血压控制率<130/80 mmHg",以改善现实管理和心血管结果.
科学领域:
- 心脏病学与公共卫生
- 高血压管理
背景情况:
- 国际高血压指南 (JSH2025, AHA/ ACC2025, ESC2024) 均指治疗目标为<130/ 80毫米.
- 大型试验 (SPRINT,STEP,BPROAD,ESPRIT) 在不同人群中证实了密集控制血压 (血压<130 mmHg) 的好处.
- JSH2025强调家庭血压监测,目标<125/75 mmHg,得到J-HOP和HONEST研究的支持.
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