治疗数字还是治疗患者? 在住院成年人中重新思考腰高血压
Cassiano Teixeira1,2,3
1ICU - Hospital Nora Teixeira - Complexo Hospitalar da Santa Casa de Porto Alegre, Porto Alegre, RS - Brasil.
Arquivos brasileiros de cardiologia
|December 19, 2025
概括
在住院患者中,孤立的高血压读数,称为"斜体高血压",通常不需要药物治疗. 积极治疗这些短暂值可能会对患者造成伤害,而没有明显的益处.
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:
- 医院内血压 (BP) 监测经常检测到孤立的升高读数,特别是在晚上躺卧的位置.
- 这些过渡性高血压值通常被标记为"仰卧式高血压".
研究的目的:
- 反对在住院患者中进行卧底高血压的常规药物治疗.
- 在这种情况下,要突出攻击性BP管理的潜在风险.
主要方法:
- 这是一篇基于当前证据的意见稿.
- 讨论与过度监测和缺乏对BP波动的上下文解释相关的风险.
主要成果:
- 越来越多的证据表明,在没有急性末端器官损伤的情况下,卧床高血压可能不需要药理干预.
- 反射治疗可能会导致不必要的伤害.
结论:
- 在住院患者中,避免对卧式高血压进行自动药理治疗.
- 强调血压读数的上下文解释,而不是积极的管理,以防止患者受到伤害.
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