高血压患者全面心血管风险管理--危机早期干预

2011-04-09 MedSci原创 MedSci原创

作者:王娣 来源:中国医学论坛报      美国高血压学会(ASH) 2009年更新高血压定义表明,高血压是“多种原因引起的进行性心血管综合征”,即血压值只是“冰山一角”。各国指南亦毫无争议地将心血管(CV)危险评估和靶器官保护列入高血压管理核心环节,但这长期是我国高血压管理行为的“短板”。   由中国医师学会心血管内科医师分会和中国高血压联盟主办,旨在打破“坚冰”、唤醒医师关注和

作者:王娣 来源:中国医学论坛报      美国高血压学会(ASH) 2009年更新高血压定义表明,高血压是“多种原因引起的进行性心血管综合征”,即血压值只是“冰山一角”。各国指南亦毫无争议地将心血管(CV)危险评估和靶器官保护列入高血压管理核心环节,但这长期是我国高血压管理行为的“短板”。   由中国医师学会心血管内科医师分会和中国高血压联盟主办,旨在打破“坚冰”、唤醒医师关注和发现高血压患者隐匿危险因素的 Iceberge Breaking研究(教育干预对中国门诊高血压患者隐匿危险因素筛查率的影响)在本届ACC年会中国专场(China Chapter)发布并引发热议。   “破冰”启航:关注高血压患者糖耐量异常   “破冰”(Iceberge Breaking)研究是一项前瞻、随机、多中心、对照研究,纳入中国9个城市99家2、3级医院524名心内科医生,随机分为教育干预组和对照组。通过医生课堂、患者课堂、提示卡等多种模式对医生就糖耐量异常(IGT)或糖尿病对高血压患者预后的重要性进行为期3 个月的教育干预,观察两组医生对所接诊高血压患者行口服

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