530
HLAVNÍ42522001005185134178232252
TÉMA69222001003981147194
Co42533001003976
přinášejí5183300100376178116151180216231246
nová78033001003776112147
doporučení94333001003776114154178217247282319335
ESC129433001003978118
2024142833001003376110144
pro158933001003761100
léčbu17053300100155081119157
hypertenze187833001003773112148172201236274305339
a2234330010033
jak22833300100154984
se238333001002864
liší2463330010015305974
od255333001003877
ESH264633001003978127
2023?279033001003375109142173
8622722001004183
|350220010018
VNITŘNÍ4268040010746106127172220280301
LÉKAŘSTVÍ748804001074185130188236280325378400
/11948040010731
Vnitř1270804001074693112140166
Lék.1456804001074083122140
2025;71(2):86-921615804001074487129173186227268286329351366410454484528570
/22308040010731
www.casopisvnitrnilekarstvi.cz442680400107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
https://doi.org/10.36290/vnl.2025.01642544001003865941331631802022236484400100418310274944001001554791171398904400100287389124167204247293316355396414432470516552587605649678720
Co4259800275112237
přinášejí7399800275123216281409531636754820886
nová17029800275123249371490
doporučení2269980027512324937850459672382494110691136
ESC34829800275122243360
202439199800275132265396529
pro45259800275123216342
léčbu4251240027560179281409537
hypertenze10391240027512224937749658968279992810321149
a226512400275116
jak24281240027561182309
se28141240027599217
liší31081240027560126231297
od348212400275120249
ESH380812400275122243400
2023?428512400275132265396525618
Libor425163001375686152216258
Jelínek1,2,70516300137451041351652302883481052164008036518911421630013729
Zdeněk11931630013763129187252310371
Ramík1,2,3,4,158616300137651242192493111895164008036518910714516320020971630013729
Radek21481630013765124189248308
Adámek1,2,247816300137731371962903494092885164008036518929761630013729
Jan30271630013745103168
Václavík1,2,3,43217163001377012517420526432035141236271640080365189107145163200
1Klinika425179007833456178001336087111172197247301
tělovýchovného780178001333791116177228283331391451503564619680740
lékařství1543178001332681133187222266303358384
a19501780013353
kardiovaskulární20261780013352106141202227287339392434485545571623658719744
rehabilitace,2794178001333690151203265291316341377430479532553
Fakultní33711780013353102153213238274335360
nemocnice37541780013361116207268317378403451505
Olomouc42821780013376103163254315375424
2Lékařská4251940078334581930013352106158211247290341395
fakulta,876193001333286137197223258312334
Univerzita12341930013371131156208262298346372408461
Palackého,17181930013359110136188237287341402462483
Olomouc22241930013376102163254314375424
3Interní425209007833459208001332687122176211272297
a7802080013353
kardiologická8562080013352105141202227287313373435460509559613
klinika,1493208001335178103163188239293315
Fakultní18322080013353102153213238274335360
nemocnice22152080013361116207268317378403451505
Ostrava27432080013376119156191244295348
4Lékařská4252240078334592230013352106158211247290341395
fakulta,877223001333386137197223258312334
Ostravská12352230013375119156191244294337388442
univerzita,17002230013361121146199252288337362398451474
Ostrava21972230013376119156191244295348
Prevalence425274001215386137185235259311367413463
arteriální909274001214881118169202227276300356380
hypertenze13102740012155102161213247283334390434485
se1816274001213991
sice1927274001214064110160
celosvětově2107274001214595120176216266316350406454504
zvyšuje,2631274001214395146187242267318339
roste2991274001213288128163213
ale3225274001214872124
i33692740012124
procento3413274001215791146193243300333388
pacientů,38212740012157107153177228285318374396
kteří4237274001214784134168192
mají44502740012183132157181
hypertenzi46512740012156102161213247284334391435459
kontrolovanou.51312740012147101158191225281306362425288001214897154210266288
Při733288001215386110
diagnostice863288001215681129186243299339374398443493
a13762880012148
léčbě1444288001212475122179231
arteriální1695288001214882119169203227276300356380
hypertenze20952880012156102161213247284334391435486
se2601288001213991
lékaři2712288001212374123173206231
mohou29632880012183139196252308
opírat32912880012155113138171221254
o35652880012155
doporučené36402880012156113171227261318364413470521
postupy41812880012157114154189245303350
Evropské4551288001214997132187245285333383
kardiologické4954288001214797130188212268293349406431476524574
společnosti425302001214097154179230277333389429464488
(ESC)937302001212877128187217
z11783020012143
roku1244302001213388137193
202414613020012151102152201
a16863020012148
Evropské1757302001214998132188246286334384
společnosti2164302001214097154179230277333389429464488
pro2676302001215791146
hypertenzi28463020012155102160212246283334390434459
(ESH)3328302001212978128194222
z35743020012143
roku3640302001213388137193
2023.38573020012151102152204225
Obě41053020012169128179
sady4308302001213989147196
doporučených45273020012157113171228262318364414471517562618
postupů51693020012156113154188244302358
zdůrazňují4253160012143100155188238282338393418442
stávající887316001213974123171220244268314338
a12443160012148
přidávají1312316001215790115172221268317342366
nová16983160012155111159208
doporučení.19263160012156112170226260316362412468492513
Hodnoty24593160012165121179235291325376
v28543160012148
rozmezí2922316001213388131215266310334
120–139/70–893276316001215196147201247292342375428477531586637
mm39363160012183167
Hg41223160012165123
jsou4264316001212565121177
dle4460316001215781132
ESC4612316001214999158
nově47893160012156112160209
považovány50183160012157113161211255310358407463509
za425330001214393
zvýšený538330001214395146187238294341
krevní899330001214782132181238262
tlak.1181330001213357106153177
V13783300012156
diagnostice1454330001215680129186242298338373397442492
hypertenze19663300012155102160212246283333390433484
je2470330001212576
shoda2566330001213995151209258
na28443300012156104
důrazu29683300012157112145195239295
na32833300012155104
měření34073300012184135167218275299
krevního3725330001214782133182239263321377
tlaku4121330001213458107154210
mimo43513300012184108192248
zdravotnické46193300012142100133182230285318374398444491541
zařízení.5180330001214394127151195246302326348
Zahájení4253440012155104160208233283339363
farmakoterapie807344001212979112195244291345378428461510567591642
je1468344001212575
indikováno1563344001212378135159206260308356412467
u20503440012154
všech2124344001214887138184239
pacientů23833440012156105151174225281314369
s27713440012139
hypertenzí28303440012155101159210243280329385429453
společně3302344001213996152177228274329380
s37013440012140
nefarmakologickými37603440012155106136185218302351398452476532589613658705755840863
opatřeními.46433440012154112161194227277333356440464485
U51473440012164
většiny5231344001214897131172195251297
pacientů4253580012157107152176228284318373
s8243580012139
hypertenzí,8893580012155102160213246283334390434459480
s13953580012139
výjimkou14603580012148100125149233281336392
starých1878358001213974124157209254310
a22133580012148
křehkých,2287358001214782132189237288333389411
se2723358001214091
farmakoterapie2840358001212979112197246294349383433467516574599650
zahajuje3515358001214394150199224280304356
fixní3896358001212956104161185
dvojkombinací41063580012157106161186234288373431455512561606630
v47623580012148
nižších4835358001215680124166190235291
dávkách,51523580012156105153201251297353375
druhým425372001215690146203249334
krokem787372001214782138186236320
je1135372001212475
trojkombinace1238372001213367122147195249334392417473522568618
nižších1883372001215680123166190235291
dávek.22023720012156105153203251275
U25053720012164
pacientů25973720012157107152176227284317373
se2998372001213991
zvýšeným3117372001214294146186238294341426
krevním3571372001214682132181238262347
tlakem3945372001213357106154204289
a42613720012148
vysokým43373720012148100140197245296381
kardiovaskulárním4746372001214797131188212268316366406453510534583617673698782
rizikem425386001213357101126173223308
je756386001212475
nově8543860012156112160210
rovněž1087386001213389137194245289
doporučována13993860012157113171228262318364419467516573622
farmakoterapie.2044386001212979112197246294349383433467516574598650671
Cílové2738386001215882108164212262
hodnoty30233860012156112170227283316367
systolického3413386001214089130165220245269314362412469525
tlaku3961386001213357106154210
jsou4194386001212565121177
v43943860012148
rozmezí4466386001213288131215267311336
120–1294825386001215196147202248293344
mm51923860012184168
Hg,53833860012165123144
diastolického425400001215680128167202256281304349396445501557
<10014000012159
8010794000012151104
mm12054000012182166
Hg.13904000012164121143
Obě15524000012168126177
sady1749400001213988145193
doporučených19614000012156112169225259314359409465510555610
postupů25904000012157113153187242299355
dále29644000012156104128179
nabízejí31624000012155103160184228278302326
odpověď35074000012155112169225273322381
na39074000012155103
mnohé40294000012183139194250301
konkrétní43494000012147101157204238289322378402
situace477040000121396396151200245294
spojené5083400001214096153177228283334
se5436400001214090
specifickými425414001213996147193216246273317364415499522
skupinami966414001214086142199223278326409433
pacientů,14184140012156105150174224280312367389
jako1826414001212472119173
jsou2018414001212463119174
pacienti22114140012157106151174224280313336
mladší,25664140012183107155212251275296
pacienti28814140012156105150174224280312336
starší,3236414001213974123155196219241
těhotné3496414001213382138193226281332
ženy,3847414001214393148194211
pacienti40774140012156105150173224280312336
s44324140012139
renální4490414001213383138186210266289
insuficiencí4798414001212379118172202229274297348403448472
apod.52894140012148104160218239
Klíčová425431001235987113159216267318
slova:772431001234269127177229253
arteriální1054431001214982119169203227276300356380
hypertenze,14634310012156103162214247284335391435486507
doporučené19994310012157113172229262319365415471523
postupy,25514310012158115155189245303351367
Evropská2947431001215098132188246287334384
společnost3360431001214198155180231278334390430465
pro3854431001215892147
hypertenzi,40304310012157103162214248284335392435460481
Evropská4540431001215098132188246286334384
kardiologická4953431001214898131188212268293349407431477524574
společnost.425445001214096152176226272327382421455476
What42547000150115183248295
do7594700015067134
the9314700015047116179
new11484700015067130222
ESC14084700015067132194
202416414700015072142213284
guidelines19634700015067136170239302337371439503558
for25594700015047115164
the27614700015046115178
treatment2978470001504696159224271372435504551
of35684700015066114
hypertension37204700015067134203266315365427496551586653721
offer44794700015066114164227276
and47944700015063132200
how50334700015066134225
do52964700015068135
they4254840015046115178245
differ7094840015067101150199263312
from1059484001504796163263
ESH13614840015067131215
2023?16154840015072143213282331
Although425504001216185118173228283339394
the839504001213388139
prevalence998504001215790139187235259309365410459
of1477504001215584
arterial1580504001214981117166199223271294
hypertension18945040012155101159210243279328384423445500556
is2470504001212362
increasing2552504001212479124156206254293316371427
worldwide,29995040012174128161185241315339395446466
the3484504001213389139
percentage36435040012157108141185234290322371427477
of4140504001215584
patients42445040012157105138161211267299340
with4604504001217397130185
controlled4809504001214598154186219274298321371428
hypertension52575040012156101159210243425518001213382138177200255311
is757518001212362
also840518001214872111166
increasing.1027518001212379124156206254293316371427448
In1496518001212479
diagnosing1596518001215780128184239294333356411467
and20845180012149104160
treating2265518001213466116164196220275331
arterial2617518001214880116166199222270293
hypertension,29315180012156101159210243279328384423446501557577
doctors35295180012157112158193247280320
can3870518001214594149
rely4040518001213382106154
on42155180012155110
the4346518001213489139
European45065180012149103135190247298346402
Society49285180012150105151174224257307
of5256518001215584
Cardiology53615180012158107139425532001215680135159214270318
(ESC)763532001212977127185214
20249975320012152102150199
and12165320012148103160
European13965320012149103135190247298346402
Society18185320012149104150173223257306
of2145532001215584
Hypertension22495320012165112170221254290339395434457512568
(ESH)2837532001212876126190218
202330755320012151102150201
guidelines.32965320012156111134191241265288343394433455
Both37715320012154109142197
sets3989532001213990123164
of4173532001215584
guidelines42775320012156111134191241265288343393433
emphasize47305320012150134190246294334356399449
existing5199532001215198122161195218273329
and4255460012148103160
add6055460012149105162
new7875460012156106179
recommendations.987546001213282128182265348399455511559592615670726765786
Values17935460012156102125180230270
in2083546001212379
the2182546001213388139
range2341546001213381136192243
of2604546001215584
120–139/70–892708546001215296146199245289338370422471524578628
mm33575460012183166
Hg35445460012165121
are3686546001214880130
now38365460012156111184
considered4040546001214599154193216273323356406463
elevated4523546001215175125172221253303360
blood4903546001215781136192249
pressure5173546001215790139179218272305355
by4255600012157102
ESC.545560001214998155178
In740560001212479
the836560001213387137
diagnosis991560001215679126181236291329352390
of1399560001215483
hypertension,15005600012155100157207240275324379418440495550570
there2088560001213387137169219
is2324560001212362
consensus2404560001214497152191241296334388427
on28485600012155110
the2976560001213387137
emphasis31305600012150133189244292331353392
on35395600012155110
out-of-hospital36665600012155110142170227256284340395434490513545594617
blood4300560001215781135190247
pressure4564560001215789139178216270302352
measurement.49335600012183133180219273305354437487542574595
Initiation425574001212478100133155202234256310365
of807574001215482
pharmacotherapy9065740012156111158190272319363416448502552584631687732
is1655574001212361
indicated1733574001212478133156200247279327383
in2133574001212478
all222857400121477092
patients23375740012157104136158208262294334
with2688574001217295128182
hypertension2887574001215499156206238273321376414436490545
along3449574001214770124179234
with3700574001217295128182
non-pharmacological38995740012155109163195252307354385468515559611635689744767811858881
measures.47975740012183132179217271303351390411
In5225574001212378
most53205740012182136174207
patients4255880012157106138161211267299340
with785588001217498131186
hypertension,9915880012156101159210243279328384423446501557578
except1589588001215097141190247280
for1890588001212984117
the2027588001213388139
old2186588001215579136
and23425880012149104161
frail,2523588001212963111134158178
pharmacotherapy27225880012156112160193277325370423456511562595643700746
is3489588001212362
initiated3572588001212378101134157205238287344
with3937588001217397130185
a41435880012148
fixed4212588001212955102151208
two-combination44405880012134109164197245298382439462517565598621676732
at5192588001214881
lower5293588001212479152202234
doses,4256020012156112151201241262
the706602001213388139
second864602001214090136190246302
step1186602001213973123180
being13856020012157108131187243
a16476020012148
three-combination1715602001213388121170221255302356439496520575623656679734789
at2524602001214881
lower2624602001212479152201234
doses.28776020012157112151202241262
In3159602001212479
patients32586020012157105138161211267299340
with3617602001217498131186
elevated3822602001215074125172221253303360
blood4201602001215781136192249
pressure4470602001215790140179218273305355
and48446020012149104161
high5024602001215679135190
cardiovascular5233602001214594126182206261425616001214896134179233256304336
risk,77861600121335695141164
pharmacotherapy9596160012157112160192275322366420452507557589637693739
is1715616001212462
also1795616001214871109164
newly19766160012155105178201248
recommended.2242616001213282127180263345395450506556613634
Target2893616001214991123178228261
values3171616001214896119173223262
for3450616001212984116
systolic3584616001213987126159213237259303
blood3905616001215680135190246
pressure4169616001215689138177216270302351
are4538616001214880129
in4684616001212478
the4780616001213387137
range4935616001213280135190240
120–1295193616001215194144197241285335
mm4256300012183167
Hg,6106300012166122143
diastolic772630001215679127166200254278301346
<11376300012159
8012156300012152104
mm13376300012184167
Hg.15236300012165122143
Furthermore,16846300012149102134170225276309392448481530550
both22536300012157113146201
sets2473630001213990123164
of2655630001215585
recommendations2758630001213383129182266349400455512560592616671726765
offer3542630001215584117167200
answers37616300012148103142217266299339
to4119630001213387
many42256300012184132187232
specific4476630001214096147193216245272316
situations481163000121406396151199231254309365404
related5234630001213382106154187236293
to425644001213387
specific533644001214096148193216246272316
patient8716440012157105138161211267299
groups1191644001215689143199255295
such1507644001213994139194
as1722644001214887
younger18316440012147101156211268318351
patients,22036440012157106138161211267299340361
older2585644001215579136186219
patients,28256440012157106138161212267300340361
pregnant3207644001215790140197252300355388
women,36166440012174128211262318339
patients39766440012157105138161211267299340
with4337644001217497130185
renal4544644001213282138186209
insufficiency,4774644001212479118172202235261306328379434479529545
etc.5340644001215084127149
Key4256610012358108158
words:6046610012374130166224266290
arterial915661001214881117166199222270294
hypertension,12306610012155101159210243278328383422445500556577
guidelines,18286610012156111134191241265288343393433454
European23036610012149103135190247298346402
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