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Các Hướng Dẫn Mới Về Tăng Huyết Áp: Tiến Bộ Hay Lùi Bước Trong Lĩnh Vực Tăng Huyết Áp?
Tóm tắt
Trong những năm gần đây, nhiều hướng dẫn về tăng huyết áp đã được công bố dưới dạng phiên bản mới hoặc sửa đổi. Các hướng dẫn này theo xu hướng chung rằng chỉ có bằng chứng lâm sàng là có liên quan cho các hướng dẫn. Ý kiến chuyên gia được đánh giá thấp hơn. Hiện tại, các hướng dẫn từ ba tổ chức lớn đã được sản xuất: từ Hiệp hội Tăng huyết áp Châu Âu, Hiệp hội Tăng huyết áp Quốc tế/Các Hiệp hội Tăng huyết áp Hoa Kỳ, và Ủy ban Quốc gia Chung Hoa Kỳ. Chúng tôi thảo luận về tám phiên bản của các hướng dẫn này trong bài đánh giá này. Tất cả các hướng dẫn này đều bao gồm các tuyên bố về các mục tiêu huyết áp hoặc quy trình điều trị cho bệnh nhân bị huyết áp cao. Độ biến thiên của các mẹo thực hành rất lớn, và các khuyến nghị, chủ yếu dựa trên thông tin y học dựa trên bằng chứng, cho thấy những khác biệt nhẹ dẫn đến một số nhầm lẫn giữa các chuyên gia và cả các bác sĩ lâm sàng. Trong bài đánh giá hiện tại, những thay đổi trong các hướng dẫn so với các hướng dẫn trước đó được thảo luận, và lý do cho các khuyến nghị khác nhau được giải thích. Hy vọng là sẽ giảm bớt sự nhầm lẫn.
Từ khóa
#tăng huyết áp #hướng dẫn lâm sàng #bằng chứng y khoa #điều trị huyết áp caoTài liệu tham khảo
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