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高血压心率管理临床结果悖论——心率控制改善高血压治疗有结局吗?
Paradox of clinical outcomes in hypertension heart rate management-Does controlled heart rate improve treatment outcomes for hypertension?
【摘要】 流行病学研究证明心率增快是心血管疾病风险及死亡的独立危险因子,亦是高血压发病及死亡的独立危险因子。有效的心率控制(措施和目标)有望为高血压患者带来巨大获益。然而,使用β受体阻滞剂降低心率并未能使得高血压患者获得额外收益。这一临床悖论值得深入探讨。
【Abstract】 Epidemiological studies had shown that increased heart rate was an independent risk factor for cardiovascular disease risk and death, and an independent risk factor for hypertension and death. Effective heart rate control(measures and goals) is expected to bring significant benefits to hypertensive patients. However, using β receptor blockers that lower heart rate had not resulted in additional benefits for hypertensive patients. This clinical paradox deserves needs to further exploration.
【关键词】 心率;
高血压病;
β受体阻滞剂;
伊伐布雷定;
【Key words】 Heart rate; Hypertension; β receptor blockers; Ivabradine;
【Key words】 Heart rate; Hypertension; β receptor blockers; Ivabradine;
- 【文献出处】 疑难病杂志 ,Chinese Journal of Difficult and Complicated Cases , 编辑部邮箱 ,2024年10期
- 【分类号】R544.1
- 【下载频次】52