低舒张压的单纯收缩期高血压研究新进展

New research progress in isolated systolic hypertension with low diastolic pressure

在有些高龄患者中，会出现舒张压（DBP）＜60mmHg高血压患者，即低DBP的单纯收缩期高血压（ISH）。越来越多的证据表明DBP＜70mmHg对机体是不利的，而低DBP的ISH患者常具有更多的心血管危险因素和更多的心血管事件风险，成为老年高血压降压治疗的难点，使用硝酸酯类药物进行治疗可能是一个有益的选择。

Some elderly hypertensive patients may manifest as diastolic blood pressure （DBP） lower than 60mmHg, a phenomenon known as isolated systolic hypertension （ISH） with low diastolic pressure. More and more evidence shows that DBP〈70mmHg is detrimental to the body. What’s more, the ISH patients with lower DBP often have more risk factors and are of higher risk for cardiovascular events, which become a difficulty for the treatment of the elderly hypertension. Nitrates may be a good option.