文档介绍：上海交通大学医学院附属仁济医院陆惠华教授
《2010中国高血压防治指南》
新进展新理念
THE EARLY THE BETTER
上医医未病之病-重在预防
现代医疗模式的转变
治疗
预防
From Intervention
To Prevention
The early The better
高血压从“无需治疗”时代穿越
"The treatment of hypertension itself is a difficult and almost hopeless task in the present state of knowledge, and in fact for aught we know ... the hypertension may be an pensation mechanism which should not be tampered with, even were it certain that we could control it."
……高血压可能是一种重要的代偿机制,我们不应该干预它……
——Paul Dudley White, 1937年
Paul Dudley White (1886-1973):近代著名的世界级心脏病学家,
AHA创始人之一,预激综合征的最早发现者之一,
世界最早的<心脏病学>专著的作者
罗斯福总统最后一个任期时的文件詳細记载了他的健康
Franklin D. Roosevelt (FDR) was referred to Dr. Howard Bruenn, a cardiologist at Bethesda Naval Hospital who, on March 27, 1944 found him cyanotic, breathless, with an enlarged left ventricle and a blood pressure of 186/108. Bruenn diagnosed hypertensive heart disease and wanted to give digitalis, but was prohibited by Dr. Ross McIntire, the president's personal physician and then surgeon-general of the . Navy.
The next day, FDR developed moist rales at the base of the right lung. During a press conference that day, FDR was asked about his physical condition and answered, "I got bronchitis." By March 30 crackles were present at the base of both lungs. Bruenn diagnosed congestive heart failure, but it was not until the next day, after FDR was examined by civilian consultants, that digitalis was begun. FDR would continue the digitalis for the rest of his life.
By April 3, FDR was better. His color was better, he could lie flat without dyspnea, and the crackles disappeared from both lungs. His blood pressure, however, was 210/110.
The nation was stunned when FDR died unexpectedly on April 12, 1945 -- less than six months after being elected to a fourth term in office. The death was unexpected because the president's personal physician, VADM Ross McIntire, whenever asked, had proclaimed that FDR's health was excellent.
1944年3月27日:血压186/108
1944年4月3日:血