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欧洲高血压患者的心血管风险评估和风险因素控制:SNAPSHOT研究

Dragos Vinereanu^1,2, Miquel Camafort^3,4, Anastase Dzudie^5,6

¹University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.

European heart journal. Quality of care & clinical outcomes

|January 19, 2026

概括

医生经常低估高血压患者的心血管风险,导致血压,LDL胆固醇和HbA1c的控制不良. 改进的指导方针实施对于更好的患者结果至关重要.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
流行病学流行病学

背景情况:

低估高血压中的心血管风险可能导致关键健康指标的管理不足.
这项研究解决了常规临床实践中对心血管风险评估和控制的理解差距.

研究的目的:

调查治疗高血压患者的医生之间的心血管风险评估准确性.
在这个人群中评估血压,低密度脂蛋白胆固醇和糖化血红蛋白的控制率.

主要方法:

一项观察性,横截面的流行病学研究 (SNAPSHOT) 涉及6个欧洲国家的9307名成年高血压患者.
用医生实践,指南和SCORE1/SCORE2/SCORE2-OP模型来评估心血管风险.
评估了血压,LDL胆固醇和HbA1c的控制率.

主要成果:

医生风险评估的准确率仅为38.0% (SCORE1) 和26.7% (SCORE2/SCORE2-OP),低估率分别为54.3%和71.8%的患者.
观察到低于最佳的控制率:血压 (<25%),LDL胆固醇 (失脂血症<12%) 和HbA1c (2型糖尿病<50%).
大多数患者 (91.3%) 患有至少一个额外的心血管风险因素,81.8%患有脂质不良症,33.3%患有2型糖尿病.

结论:

医生倾向于高估血压和LDL胆固醇的控制率,同时低估心血管风险.
在高血压患者中,血压,LDL胆固醇和HbA1c的整体控制率仍然很低.
加强临床指导方针的实施是改善心血管风险管理的必要条件.

关键词:

血压控制控制血压控制血压心血管疾病的风险.脱脂血症是什么脱脂血症是什么流行病学研究是流行病学研究.在高血压的高血压.对LDL-C进行控制.

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