《ESH2013欧洲高血压指南》内容简介

    今天由欧洲高血压学会（ESH）及欧洲心脏病学会（ESC）发布的该联合指南强调，高血压治疗面临的主要问题包括医生及患者对生活方式的重视程度不够、在启动及强化药物治疗的问题上常犹豫不决以及医疗保健系统的结构性缺陷。新指南对高血压治疗的几项推荐做了明显修改，于今天在意大利米兰举行的欧洲高血压学会年会上正式发布，并同时在线发表在《高血压杂志》、《欧洲心脏杂志》及《血压》上。

    《ESH2013欧洲高血压指南》内容预览

    2.2 Definition and classificationof hypertensionThe continuous relationship between BP and CV and renal eventsmakes the distinction between normotension and hypertension dif-ficult when based on cut-off BP values. This is even more sobecause, in the general population, SBP and DBP values have a uni-modal distribution.

    In practice, however, cut-off BP values are uni-versally used, both to simplify the diagnostic approach and to facilitatethe decision about treatment. The recommended classification is un-changed from the 2003 and 2007 ESH/ESC guidelines （Table3 ）。Hypertension is defined as values ≥ 140 mmHg SBP and/or≥ 90 mmHg DBP, based on the evidence from RCTs that in patientswith these BP values treatment-induced BP reductions are beneficial（see Sections 4.1 and 4.2）。 The same classification is used in young,middle-aged and elderly subjects, whereas different criteria, basedon percentiles, are adopted in children and teenagers for whomdata from interventional trials are not available. Details on BP classi-fication in boys and girls according to their age and height can befound in the ESH's report on the diagnosis, evaluation and treatmentof high BP in children and adolescents.

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