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高血压诊疗要点:120/80标准
$41.86
本书总结了高血压诊疗要点,以研究数据为支持,旨在为高血压的预防、诊断和治疗提供指导。 全球50%以上的脑卒中和缺血性心脏病死亡是由高血压所导致的。以130/80mmHg为高血压的新诊断界阈值,全球将新增数百万患者,这意味着这个群体的心血管事件风险升高。高血压防治将成为减轻心血管疾病负担的重中之重,这要求我们在临床决策时改变惯有观念。 本书遵循临床思维设计章节和内容。*章介绍高血压危害的特点,...
本书总结了高血压诊疗要点,以研究数据为支持,旨在为高血压的预防、诊断和治疗提供指导。 全球50%以上的脑卒中和缺血性心脏病死亡是由高血压所导致的。以130/80mmHg为高血压的新诊断界阈值,全球将新增数百万患者,这意味着这个群体的心血管事件风险升高。高血压防治将成为减轻心血管疾病负担的重中之重,这要求我们在临床决策时改变惯有观念。 本书遵循临床思维设计章节和内容。*章介绍高血压危害的特点,并讨论诊断阈值变化的证据。第二章介绍年龄相关血压升高的原因,进一步说明高血压预防的重要性。本书专辟第三章阐述高血压的诊断。*后一章介绍了高血压防治药物治疗和非药物治疗选择的基本原则。
本书的编写目标是给出高血压临床治疗的*重要知识和经验,涵盖高血压防治、诊断与治疗各个方面。全世界范围内超过50%因中风和缺血性心脏病而导致的死亡病例均因高血压而来,国际*的高血压诊断标准(120/80mmHg)放出以后,高血压的防治与处理成为减少心血管疾病患病人群的首要重点。对于老龄化高血压、高血压患病人群的减压治疗、吸烟人群的高血压防治工作都变得比之前更加复杂。本书的内容遵循临床诊疗基础,首先讲述如何识别高血压风险和控制高血压水平,其次从病因角度讲述如何防治老龄化高血压,*后讲述高血压防治与诊疗的临床药物选择和非药物治疗方法。
作者:
弗莱维欧•丹尼•福克斯(Flávio Danni Fuchs),巴西Rio Grande do Sul联邦大学临床心血管科学博士,临床医师,美国心脏病学协会成员,在超过30多种国际心脏病与高血压学术期刊担任编审和负责人。已出版11种国际通用的心脏病学和高血压病学科教材(英语和葡萄牙语),并发表行业论文300余篇。
译者:
匡泽民,内科学博士,副主任医师,硕士研究生导师。现就职于首都医科大学附属北京安贞医院高血压科。北京医师协会高血压专业委员会社区高血压委员,高血压联盟CHIEF中青年专家团成员,光明网健康科普传播智库专家顾问,中国老年心血管病联盟届委员,多家专业杂志编委。专业特长是高血压及相关疾病个体化诊断与治疗。对高血压病因筛查、亚临床靶器官损害评估、心脑肾血管疾病早期预警,以及特殊人群合理用药有深入见解。主持/参与国家课题5项,发表论文40余篇,参编专业著作5部,获软件专利著作权5项。在专业医学APP上主持“匡说︱高血压”栏目,拥有众多粉丝。
第1 章 高血压的危害及治疗目标 ……………………………… 11.1 冠心病、脑卒中及心血管疾病的风险 …………………… 21.2 高血压的其他危害 ……………………… ………………… 71.3 高血压的人群风险和趋势 ……………… ………………… 121.4 高血压指南推荐的诊断阈值 ……………………………… 121.5 理念证明:临床试验证据 ……………………………………151.6 治疗目标和“J”形曲线 …………… ………………………181.7 SPRINT 研究 ………………………… ………………………211.8 高血压前期治疗的获益 ………………………………………241.9 血压水平偏低:长期健康生活的关键 ………………………261.10 误区和惰性 ………………………… ………………………271.11 血压的分类 …………………………… ……………………28
第2 章 发病机制 …………………………………………… ……362.1 钠超负荷的适应不良 ……………………… ………………362.2 过度肥胖 ………………………………………………………452.3 糖尿病和代谢综合征 …………………………………………472.4 钾和其他饮食因素 ………………………… ………………472.5 乙醇(酒精)、高血压和心血管疾病 ………………………482.6 睡眠障碍 ………………………………………………………502.7 压力 …………………………………… ……………………512.8 其他高血压风险 ………………………………………………53
第3 章 诊断与评估 ……………………………………………………623.1 血压测量 ………………………………………… ………………623.2 每日血压负荷、偶测血压和日常血压的概念 …………………633.3 精准评估高血压危害的方法 …………………… ………………643.4 “白大衣高血压”和隐匿性高血压 …………… ………………673.5 临床评价 ………………………………………… ………………693.6 危险分层 ………………………………………… ………………743.7 血压变异性 ………………………………………… ……………793.8 难治性高血压 …………………………………… ………………813.9 继发性高血压 …………………………………… ………………82
第4 章 预防和治疗 ……………………………………………………924.1 非药物治疗 ………………………………………… ……………924.2 药物治疗 ………………………………………………………… 103
索引 …………………………………………………………………… 133
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