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Ann Intern Med:动态血压监测用于高血压诊断的指南

2015-10-28 sapphira 译 MedSci原创

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美国预防服务工作组(USPSTF)推荐动态血压监测作为高血压的诊断参考标准。工作组在《内科学年鉴》上发表了他们的A级血压筛查推荐。



指南还提到了以下这些

1.当动态血压监测不可行时,家庭血压监测是个可以考虑的替代方法。

2.40岁及以上有高血压危险因素(例如一般血压偏高(130-139/85-89 mmHg),超重或肥胖,黑人)的成年人应每年筛查血压情况。40岁以下、无高血压危险因素、一般血压尚可的成人可3-5年筛查一次。

3.除黑人以外人种的病人可以以噻嗪类、钙通道阻滞剂、血管紧张素转化酶抑制剂和血管紧张素受体阻断剂为首选治疗。黑人应以噻嗪类或钙通道阻滞剂为首选治疗。

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