黑料吃瓜群网

Treatment听guidelines for patients with hypertension have been updated, with a particular focus

on uncomplicated hypertension.听The guideline update by clinical experts was facilitated by the National Heart Foundation of Australia听and is summarised in today鈥檚 issue of the
If clinic blood pressure is elevated, offering confirmation with out-of-clinic measures, such as听ambulatory and home blood pressure assessment, are now recommended, as they are stronger听predictors of outcome. The benefit of treatment in patients with uncomplicated mild hypertension听was confirmed in a 2015 meta-analysis.
A major change from earlier guidelines is the recommendation for a lower target blood pressure听(? 120 mmHg) in high risk patients. This change follows a trial, published in 2015, in which听benefit (improved cardiovascular outcomes) was demonstrated in a selected high risk听population, but with some increase in treatment-related adverse effects.
鈥淪election of a blood pressure target should be based on informed, shared decision making听between patients and health care providers considering the benefits and harms鈥�, Dr Genevieve听Gabb (Royal Adelaide 黑料吃瓜群网), a clinical expert involved in the guideline update, and her coauthors听wrote.
In an accompanying editorial in the MJA, Professor Garry Jennings from the Baker IDI Heart and听Diabetes Institute and the National Heart Foundation of Australia commended the new听guidelines, commenting that they were 鈥渁dapted for Australian conditions at a time when听knowledge of the field has been moving rapidly鈥�.
Professor Jennings wrote that the new guidelines deal with the paradox that most people who听have heart attacks or strokes caused by elevated blood pressure do not meet the conventional听definition of hypertension.
He admitted that there were holes in the evidence base that were not helpful for clinicians听needing advice for particular patients.
鈥淚n future, we need to move the emphasis from large tomes written by expert groups to providing听decision support individualised to the patient,鈥� he wrote.