高血压药物治疗刘东升.pptxVIP

高血压病药物治疗沧州市人民医院心内二科刘东升高血压危害80男性女性706050高血压发病率 (%)40302010020-2930-3940-4950-5960-6970+年龄范围发病率随年龄递增* SBP 140 mmHg, DBP 90 mmHg,或正在进行降压治疗Kearney et al. Lancet 2005;365:217–223高血压发病率*2562561281286464323216168844221100120140160180708090100110血压、年龄与冠心病死亡率(100万人群资料分析)年龄年龄收缩压舒张压80-89 years80-89 years70-79 years70-79 years60-69 years60-69 years50-59 years50-59 yearsIHD Mortality(Floating Absolute Risk and 95% CI)40-49 years40-49 yearsSystolic BP (mm Hg)Diastolic BP (mm Hg)Prospective Studies Collaboration. Lancet. 2002;360:1903-1913.血压升高对靶器官损害导致临床事件危险因素: 糖尿病, 肥胖, 吸烟, 年龄冠脉病变左室肥厚纤维化凋亡心律失常心衰心肌梗死高血压血管收缩血管