在美国成年人中,当代患病率和治疗模式,明显耐治疗高血压
William B Earle1,2, Nathan W Watson2,3, Stephen P Juraschek4
1Knight Cardiovascular Institute, Oregon Health and Science University, Portland (W.B.E.).
Hypertension (Dallas, Tex. : 1979)
|March 4, 2026
概括
尽管高血压率上升,但抗性高血压仍然稳定. 虽然多药疗法增加了,但许多患者的血压仍然无法控制,这凸显了心血管健康管理的持续挑战.
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:
- 抗性高血压与不良的心血管结果和死亡率有关.
- 最近的指导方针提倡降低血压的目标.
- 耐性高血压的流行率和处方模式需要当前的特征.
研究的目的:
- 确定美国成年人当前明显耐治疗高血压 (aTRH) 的患病率.
- 分析随着时间的推移,aTRH流行和治疗的趋势.
- 确定与aTRH相关的人口和临床因素.
主要方法:
- 利用了来自国家健康和营养检查调查 (2003-2020) 的数据.
- 根据利尿剂的使用和血压值或抗高血压药物的数量来定义aTRH.
- 通过药瓶审查识别的药物.
主要成果:
- 在高血压成年人中,aTRH的患病率为6.41%,并随着时间的推移保持稳定.
- 在接受治疗的成年人中,aTRH的患病率从17.7%降至12.6%.
- 年龄较大,黑人种族,BMI较高和心血管相关疾病与aTRH有关.
结论:
- 尽管高血压率增加,但明显的耐治疗高血压患病率一直稳定.
- 增加使用多种药物治疗方案符合指导方针,但仍存在不受控制的高血压.
- 需要进一步的策略来有效地管理耐性高血压.
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