卒中后或合并糖尿病时降低血压，在研究与实践层面均面临挑战
摘要
芝加哥——高血压已获“沉默杀手”之称。若患者患有糖尿病或曾发生卒中，高血压所致严重心血管事件的风险会进一步升高。周六在美国心脏协会科学年会上报告的三项研究，介绍了近期在这些具有挑战性病史的人群中降低血压的尝试，以及医疗照护应如何跨专科协作来治疗这些患者。一项规模较小但人群多样化的试验测试了卒中后使用一种常用利尿剂的效果，另一项研究探讨了强化治疗以达到低于标准的卒中后血压目标，第三项则考察了2型糖尿病患者中进一步降低血压的情况。阅读全文……
English
CHICAGO — High blood pressure has earned its reputation as the silent killer. If someone has diabetes or has had a stroke, the risk of serious cardiovascular events posed by hypertension climbs even higher. Three studies presented Saturday at the American Heart Association’s scientific sessions reported on recent attempts to lower blood pressure in people with these challenging medical histories, and how medical care should reach across specialties to treat them. One small but diverse trial tested a common diuretic after a stroke, another looked at intensifying treatment to reach lower-than-standard post-stroke blood pressure goals, and the third looked at going lower in people living with type 2 diabetes. Read the rest…