对强化降压、降脂治疗的认识及观点

Views and understanding of intensive antihypertensive and lipid-lowering therapy

  • 摘要: 高危人群的高血压诊断标准、血脂目标需要更低已经成一种重要治疗策略。2025年公布的指南美国心脏协会(AHA)/美国心脏病学会(ACC)高血压管理指南、美国临床内分泌医师学会血脂异常药物治疗指南针对血压和血脂的目标提出了新标准,本文针对血压诊断和目前血脂治疗的现状,结合美国、中国、欧洲国家的指南和共识,对血压诊断是否应当低于130/80 mmHg、低密度脂蛋白胆固醇(LDL-C)目标值是否需要降至1.4 mmol/L以下或者更低等问题提出自己的认识和观点。

     

    Abstract: The diagnostic criteria for hypertension and the need for lower blood lipid targets in high-risk populations have become an important treatment strategy. The guidelines and consensus released in 2025—The 2025 American Heart Association (AHA)/American College of Cardiology (ACC) Guideline for the Management of Hypertension and the 2025 American Association of Clinical Endocrinology Clinical Practice Guideline on Pharmacologic Management of Dyslipidemia—have proposed new standards for blood pressure and blood lipid targets. This article focuses on the current status of blood pressure diagnosis and blood lipid treatment, and proposes our understanding and views on whether blood pressure diagnosis should be below 130/80 mmHg and whether blood lipid targets low density lipoprotein cholesterol (LDL-C) need to be reduced to below 1.4 mmol/L or lower, based on the guidelines and consensus.

     

/

返回文章
返回