Evidence-Based Eye Care

"The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure" provides a new guideline for hypertension prevention and management. The following are the key messages(1) In persons older than 50 years, systolic blood pressure (BP) of more than 140 mm Hg is a much more important cardiovascular disease (CVD) risk factor than diastolic BP; (2) The risk of CVD, beginning at 115/75 mm Hg, doubles with each increment of 20/10 mm Hg; individuals who are normotensive at 55 years of age have a 90% lifetime risk for developing hypertension; (3) Individuals with a systolic BP of 120 to 139 mm Hg or a diastolic BP of 80 to 89 mm Hg should be considered as prehypertensive and require health-promoting lifestyle modifications to prevent CVD; (4) Thiazide-type diuretics should be used in drug treatment for most patients with uncomplicated hypertension, either alone or combined with drugs from other classes. Certain high-risk conditions are compelling indications for the initial use of other antihypertensive drug classes (angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, beta-blockers, calcium channel blockers); (5) Most patients with hypertension will require 2 or more antihypertensive medications to achieve goal BP (<140/90 mm Hg, or <130/80 mm Hg for patients with diabetes or chronic kidney disease); (6) If BP is more than 20/10 mm Hg above goal BP, consideration should be given to initiating therapy with 2 agents, 1 of which usually should be a thiazide-type diuretic; and (7) The most effective therapy prescribed by the most careful clinician will control hypertension only if patients are motivated. Motivation improves when patients have positive experiences with and trust in the clinician. Empathy builds trust and is a potent motivator. Finally, in presenting these guidelines, the committee recognizes that the responsible physician's judgment remains paramount.

A V Chobanian

G L Bakris

H R Black

W C Cushman

L A Green

J L Izzo

D W Jones

B J Materson

S Oparil

J T Wright

J R Toccella

THE SEVENTH REPORT OF THE JOINT NATIONAL COMMITTEE ON PREVENTION, DETECTION, EVALUATION, AND TREATMENT OF HIGH BLOOD PRESSURE. THE JNC 7 REPORT

第七次全国联合委员会关于预防、检测、评估和治疗高血压的报告。JNC 7报告

Evidence-Based Eye Care: October 2004 - Volume 5 - Issue 4 - p 220-221 doi: 10.1097/01.ieb.0000142774.99432.d7

Betsy Luo

EYE CARE IN AFRICAN AMERICANS WITH TYPE 1 DIABETES: THE NEW JERSEY 725

非洲裔美国1型糖尿病患者的眼睛护理：新泽西725研究

Sanjay Sharma

LEVELS OF EVIDENCE

证据水平

Evidence-Based Eye Care: October 2004 - Volume 5 - Issue 4 - p 224-225 doi: 10.1097/01.ieb.0000142759.13982.98

George R Beauchamp

COMPARISON OF PRESCHOOL VISION SCREENING TESTS AS ADMINISTERED BY LICENSED EYE CARE PROFESSIONALS IN THE VISION IN PRESCHOOLERS STUDY

学龄前儿童视力筛查测试的比较：由视力学龄前儿童研究中的持证眼科专业人员实施

Evidence-Based Eye Care: October 2004 - Volume 5 - Issue 4 - p 241-242 doi: 10.1097/01.ieb.0000142795.51272.87

Zachary Roth

Gary C Brown

HIGHER RISK OF MULTIPLE FALLS AMONG ELDERLY WOMEN WHO LOSE VISUAL ACUITY

老年女性视力下降增加多次跌倒风险

Evidence-Based Ophthalmology: January 2005 - Volume 6 - Issue 1 - p 32-33 doi: 10.1097/01.ieb.0000150383.81424.ea

Omesh P Gupta

ISOTRETINOIN-ASSOCIATED INTRACRANIAL HYPERTENSION

异维A酸相关性颅内高压

Evidence-Based Ophthalmology: January 2005 - Volume 6 - Issue 1 - p 50-54 doi: 10.1097/01.ieb.0000150297.09373.b7

Melissa M Brown

COST-UTILITY ANALYSIS: THE FOUNDATION OF VALUE-BASED MEDICINE

成本效用分析：基于价值的医学的基础

Evidence-Based Ophthalmology: January 2005 - Volume 6 - Issue 1 - p 20-21 doi: 10.1097/01.ieb.0000150384.75586.e9

Ronald L Fellman

FACTORS ASSOCIATED WITH OPTIC DISC HEMORRHAGES IN GLAUCOMA

青光眼视盘出血相关因素

Evidence-Based Ophthalmology: January 2005 - Volume 6 - Issue 1 - p 48-49 doi: 10.1097/01.ieb.0000150381.96671.6b

Gary Brown

MEDITERRANEAN DIET, LIFESTYLE FACTORS, AND 10-YEAR MORTALITY IN ELDERLY EUROPEAN MEN AND WOMEN: THE HALE PROJECT

地中海饮食、生活方式因素与老年欧洲男女10年死亡率：HALE项目研究

Evidence-Based Ophthalmology: January 2005 - Volume 6 - Issue 1 - p 41-43 doi: 10.1097/01.ieb.0000150378.50929.e4

M Bruce Shields

PREDICTIVE FACTORS FOR GLAUCOMATOUS VISUAL FIELD PROGRESSION IN THE ADVANCED GLAUCOMA INTERVENTION STUDY

ADVANCED GLAUCOMA INTERVENTION STUDY中青光眼视野进展的预测因素

Publication Information	Publisher: Lippincott Williams and Wilkins Ltd.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1999，Proportion of original research papers: ，Self Citation Rate:， Gold OA Rate:

Evidence-Based Eye Care

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