成年人精神压力相关高血压诊疗专家共识.pdfVIP

·标准与讨论· 成年人精神压力相关高血压诊疗专家共识 【提要】 精神心理因素为高血压发病的重要危险因素，然而尚缺乏关于精神压力相关高血压诊 疗的规范流程，为此中国医师协会心血管内科医师分会双心学组联合中华医学会心血管病学分会高 血压学组组织心血管内科、精神科、中医科等学科专家，就精神压力相关高血压的诊断及治疗，制定诊 疗策略的共识，本共识主要包括流行病学、发病机制、诊断和治疗，以利于提高临床诊疗效率。 高血压； 精神压力； 共识 Expert consensus on diagnosis and treatment of adult mental stress induced hypertension Psycho-cardiology Group, College of Cardiovascular Physicians of Chinese Medical Doctor Association; Hypertension Group of Chinese Society of Cardiology Corresponding author:Liu Meiyan, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China, Email: china_lmy@ 【Summary】 Mental stress has been recognized as an important risk factor of hypertension, yet the clinical guidelines on the diagnosis and treatment for mental stress-induced hypertension remain to be issued. Therefore, experts specialized in cardiology, psychiatry, and traditional Chinese medicine organized by the Psycho-cardiology Group of College of Cardiovascular Physicians of Chinese Medical Doctor Association and Hypertension Group of Chinese Society of Cardiology proposed the present consensus statement, which includes the epidemiology, etiology, diagnosis, and treatment of the mental stress-induced hypertension. This consensus will hopefully facilitate the clinical practice of this disorder. 【Keywords】Hypertension; Mental stress; Expert consensus 2019年中国心血管健康与疾病报告数据显 精神心理因素为影响高血压发病的重要危险因 ［1］ ［5‑8］ 示，我国现有高血压病患者2.45亿 。全球高血压 素 。这种与精神压力刺激密切相关的高血压， 数据分析，预计到2025年，全球高血压病患者将增 称之为精神压力相关高血压（mentalstress‑induced ［2］ 加至15亿 。据我国最新疾病负担报告显示，高血 hypertension，or stress‑induced hypertension，or