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[ESH2011]Grassi教授谈肥胖高血压患者合理的治疗策略

作者:  G.Grassi   日期:2011/6/25 16:45:08

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<International Circulation>: You are making a presentation entitled “Weight Loss Influences on Arterial Hypertension: Myth or Reality?” What is the influence of anti-hypertensive drugs on the weight of obesity patients? Are there certain classes of drugs that are preferred and others that might exacerbate the obesity problem?

    <International Circulation>:  You have collaborated on some papers on the topic of central blood pressure. There is a debate here at the ESH with Bryan Williams and Stefan Laurent on central blood pressure being preferred over conventional measurement. Do you have an opinion?

   《国际循环》:您合作发表了一些关于中心血压的文章。在ESH, Bryan Williams和Stefan Laurent关于中心血压测量是否优于传统血压测量方法进行了辩论,对此您的观点如何?


    Prof.Grassi: I am more in favor of Stefan Laurent’s position. Central blood pressure is something that may be useful and contributes information about cardiovascular risk but at the moment we don’t really know what would be the advantage of using central blood pressure particularly for monitoring the effects of anti-hypertensive treatment. In other words, we know that anti-hypertensive treatment lowers traditional blood pressure values but we are yet to discover what happens with central blood pressure values. This is something we will know in the future and it will also be important to understand whether a reduction in central blood pressure means an improvement in cardiovascular risk.

    Grassi教授:我更赞同Stefan Laurent的观点。中心血压可能有用,有助于提供更多关于心血管风险的信息,但目前我们并未真正认识到应用中心血压的优势是什么,尤其在降压治疗效果监测方面的优势?换句话说,我们知道降压治疗降低传统血压值,但中心血压值的变化还有待于我们去发现。以后我们会认识到这点,同时了解中心血压的降低是否意味着心血管风险的改善也是很重要的。


    <International Circulation>:  Are there differences between drugs that in the context of a clinical trial will show no differences when using standard brachial blood pressure measurement, but if measuring central blood pressure a difference in measurements is apparent? Do we know if that is significant?

   《国际循环》:某些药物在临床试验中测量标准肱动脉血压没有发现差异,而测量中心血压差异显著,您认为这有意义吗?
 

    Prof.Grassi: As I mentioned before, we still need to know what is the meaning, in terms of cardiovascular events, of a reduction in central blood pressure. We need to know if a clear reduction in central blood pressure means an improvement in cardiovascular risk and this is something that can only be addressed by an appropriate clinical trial.

    Grassi教授:如上述,我们仍需要了解降低中心血压对心血管风险的作用。我们需要了解中心血压的明显降低是否意味着心血管风险的改善,这个问题只能通过合适的临床试验来回答。

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