从framingham研究观高血压治疗策略演变421.pptVIP

* The established risk factors provide remarkably good ability to discriminate those at risk for CHD. Regrettably, many LMIC still use programs based on the presence or absence of single cardiovascular risk factor. This may result in committing a patient with only a small cardiovascular risk to many years of drug therapy or, conversely, neglecting to treat those with an overall higher cardiovascular risk. * * 小鸟站在一块自以为安全的礁石上，悠闲惬意！但却不知平静下面暗藏危机。就像我们在临床工作中经常碰到的高血压病人，貌似健康，实则危险重重。 * 美国危险因素： 中国：危险因素包括：吸烟、脂代谢异常、糖代谢异常、肥胖、缺乏体力活动 * 同样，让烟民戒烟也非常困难。 这是两次EUROASPIRE调查，在欧洲的15个国家进行，纳入了5551个冠心病患者，调查吸烟患者的比例，及出