转移值:2025年高血压指南对2017年高血压指南的抗高血压资格的变化
Faith E Metlock1, Bede N Nriagu1, Britton Scheuermann2
1Inova Schar Heart and Vascular, Inova Health System, Falls Church, USA.
JACC. Advances
|January 22, 2026
概括
2025年高血压指南显示治疗资格的变化很小,影响约40万成年人. 这项研究分析了新的指导方针对美国成年人的抗高血压治疗的影响.
科学领域:
- 心血管医学 心血管医学
- 公共卫生 公共卫生
- 临床指南 临床指南
背景情况:
- 高血压影响了近一半的美国成年人,需要更新治疗指南.
- 2025年ACC/AHA指南引入了PREVENT风险方程和修订的第一阶段高血压治疗建议.
- 这些变化可能会改变对抗高血压治疗的适用性.
研究的目的:
- 量化2025年和2017年指南之间的抗高血压治疗资格的变化.
- 描述新的符合资格的成年人,并评估资格一致性.
- 评估不同PREVENT模型变体中发现的稳定性.
主要方法:
- 基于模拟的分析,使用国家健康和营养检查调查数据 (2017-2020) 对30-79岁的成年人进行模拟分析.
- 使用2017年和2025年指南标准确定了治疗资格.
- 分析包括多个PREVENT风险方程变体和多变量建模.
主要成果:
- 最小的净增长为0.7% (约. 根据2025年指导方针,观察到治疗资格的40万名成年人.
- 大多数成年人始终没有资格 (63.3%) 或有资格 (36.3%).
- 新有资格的个人通常是年长的女性,BMI和边界血糖指标较高.
结论:
- 2025年ACC/AHA准则的采用导致抗高血压治疗资格的最小扩展.
- 在各种PREVENT模型变体中,研究结果一致,支持基于风险的实施.
- 该研究支持采用基于风险的策略来实施指南.
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