Vnitr Lek 2021, 67(Suppl.B):17-18 | DOI: 10.36290/vnl.2021.069

Jsou cílové hodnoty kontroly krevního tlaku nastavené správně?

MUDr. Zuzana Zafarová

Jedno z kardiologických témat na 16. konferenci Interní medicína pro praxi, která proběhla on-line 30. dubna 2021, se týkalo kompenzace krevního tlaku. MUDr. Petra Vysočanová vysvětlila, že aktuální mezinárodní doporučení pro léčbu hypertenze nově uvádějí nejen optimální doporučený postup, ale také tzv. minimální (nezbytně nutný) postup u každé položky diagnostiky a léčby hypertenze. Zcela nezbytné je např. správné měření krevního tlaku s využitím ambulantního a domácího monitorování. Shrnula jednotlivé kroky léčby hypertenze, která by měla u většiny pacientů začínat fixní dvojkombinací a cílit na hodnoty TK < 130/80 mm Hg. Připomněla potřebu došetření orgánových komplikací u osob s hypertenzí, pravidelných kontrol TK a včasné reakce na zvýšení nebo nedostatečný pokles hodnot. Také doložila, že i distanční léčba hypertenze je možná při dodržení konkrétních zásad.

Published: July 15, 2021  Show citation

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Zafarová Z. Jsou cílové hodnoty kontroly krevního tlaku nastavené správně? Vnitr Lek. 2021;67(Suppl. B - Zaznělo na):17-18. doi: 10.36290/vnl.2021.069.
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    References

    1. Bangalore S, Messerli FH, Ou FS, Tamis-Holland J, Palazzo A, Roe MT, Hong MK, Peterson ED; CRUSADE Investigators. The association of admission heart rate and in-hospital cardiovascular events in patients with non-ST-segment elevation acute coronary syndromes: results from 135 164 patients in the CRUSADE quality improvement initiative. Eur Heart J. 2010; 31(5): 552-560. Go to original source... Go to PubMed...
    2. Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, Ramirez A, Schlaich M, Stergiou GS, Tomaszewski M, Wainford RD, Williams B, Schutte AE. 2020 International Society of Hypertension Global Hypertension Practice Guidelines. Hypertension. 2020; 75(6): 1334-1357. Go to original source... Go to PubMed...
    3. Ettehad D, Emdin CA, Kiran A, Anderson SG, Callender T, Emberson J, Chalmers J, Rodgers A, Rahimi K. Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet. 2016; 387(10022): 957-967. Go to original source... Go to PubMed...
    4. Kjeldsen SE, Messerli FH, Chiang CE, Meredith PA, Liu L. Are fixed-dose combination antihypertensives suitable as first-line therapy? Curr Med Res Opin. 2012; 28(10): 1685-1697. Go to original source... Go to PubMed...
    5. Tóth K; PIANIST Investigators. Antihypertensive efficacy of triple combination perindopril/indapamide plus amlodipine in high-risk hypertensives: results of the PIANIST study (Perindopril-Indapamide plus AmlodipiNe in high rISk hyperTensive patients). Am J Cardiovasc Drugs. 2014; 14(2): 137-145. Go to original source... Go to PubMed...
    6. Rapsomaniki E, Timmis A, George J, Pujades-Rodriguez M, Shah AD, Denaxas S, White IR, Caulfield MJ, Deanfield JE, Smeeth L, Williams B, Hingorani A, Hemingway H. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1.25 million people. Lancet. 2014; 383(9932): 1899-1911. Go to original source... Go to PubMed...
    7. Parati G, Kjeldsen S, Coca A, Cushman WC, Wang J. Adherence to Single-Pill Versus Free-Equivalent Combination Therapy in Hypertension: A Systematic Review and Meta-Analysis. Hypertension. 2021; 77(2): 692-705. Go to original source... Go to PubMed...
    8. Putignano D, Orlando V, Monetti VM, Piccinocchi G, Musazzi UM, Piccinocchi R, Minghetti P, Menditto E. Fixed Versus Free Combinations Of Antihypertensive Drugs: Analyses Of Real-World Data Of Persistence With Therapy In Italy. Patient Prefer Adherence. 2019; 13: 1961-1969. Go to original source... Go to PubMed...
    9. Gradman AH, Parisé H, Lefebvre P, Falvey H, Lafeuille MH, Duh MS. Initial combination therapy reduces the risk of cardiovascular events in hypertensive patients: a matched cohort study. Hypertension. 2013; 61(2): 309-318. Go to original source... Go to PubMed...
    10. Andrade SE, Gurwitz JH, Field TS, Kelleher M, Majumdar SR, Reed G, Black R. Hypertension management: the care gap between clinical guidelines and clinical practice. Am J Manag Care. 2004; 10(7 Pt 2): 481-486.
    11. Omboni S, McManus RJ, Bosworth HB, Chappell LC, Green BB, Kario K, Logan AG, Magid DJ, Mckinstry B, Margolis KL, Parati G, Wakefield BJ. Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper. Hypertension. 2020; 76(5): 1368-1383. Go to original source... Go to PubMed...

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