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The seven core principles: a reliable method for lowering blood pressure
Chun-Song Hu, MD,1 Da-Yi Hu, MD2, 3
1Outpatient Department,
3Department of Cardiology, People’s Hospital,
Address for correspondence:
Dr. Chun-Song Hu, chunsong_hu@yahoo.com.cn;
Dr. Da-Yi Hu, heart@gw-icc.org
Abstract
In this article, we review the seven core principles (SeCP) for the treatment of hypertension. SeCP is an important step in hypertension treatment, especially in
Key words: hypertension, treatment, principles
The seven core principles (SeCP) for the treatment of hypertension are (1) early identification, early diagnosis, and early and lifelong treatment; (2) administration of long-acting and slow-release antihypertensive drugs to control blood pressure (BP); (3) use of low-dose and combined therapy; (4) individual and racial therapy; (5) integration of traditional Chinese and Western medicine; (6) lifestyle modification; (7) and enhancement of compliance.1 We refer to these core principles (CP), which encompass overall principles for hypertension and aspects of traditional Chinese medicine, as “GAO —LIU’s principles”. SeCP will play an important role in the future treatment of hypertension.
In
In our study, we have found that the majority of patients with hypertension follow the PP strategy. (Percentages have yet to be determined.) Which strategy is followed depends on patients’ and doctors’ application of SeCP—that is, whether doctors provide health education to their patients, whether patients modify their lifestyles, whether patients comply with treatment, and so on—as well as economic conditions and other factors.
Lifestyle plays a key role in the development of hypertension. SeCP focuses on early and lifelong treatment, combination therapy and individual therapy, and lifestyle modification. 2 More attention should be paid to lifestyle modification because of the effect of lifestyle on cardiovascular and cerebrovascular disease.
SeCP is a reliable method for lowering BP (to < 140/90 mmHg). If SeCP were promoted in clinical practice, the percentage of hypertensive patients with controlled BP in would increase dramatically and the number of cardiovascular and cerebrovascular events would greatly decrease. Moreover, economic and social benefits would also accrue. Use of long-acting antihypertensive drugs and traditional Chinese medicine Huoxuehuayi prescriptions would increase, injury of target organs would decrease, and quality of life and life expectancy would improve.
References
1.Hu CS, Gao RL, Liu LS. Seven core principles for treatment of hypertension [in Chinese]. Zhongguo Zhong Xi Yi Jie He Za Zhi 2006;26:363–5
2.Hu CS, Hu DY. ‘Zhongzi’ (S-E-E-D) rules for health [in Chinese]. Pacific Review Monthly 2005;1:76–7
(注:作于2006年,首次发表。)
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