高血压合并左心室肥厚的危害及逆转的临床意义

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多项流行病学研究发现,血压水平与冠状动脉粥样硬化性心脏病(冠心病)、脑卒中等心脑血管病发生和死亡风险呈连续正相关,提示高血压是心脑血管病的独立危险因素。与此同时,近年来的临床干预试验也显示,降低血压水平可显著降低心脑血管病风险,且降压治疗的获益主要来自血压降低本身。那么,控制血压是指导高血压治疗的唯一目标吗?是否应该关注血压以外的干预靶点?左心室肥厚(left ventricular A number of epidemiological studies have found that blood pressure levels and coronary heart disease (coronary heart disease), stroke and other cardiovascular and cerebrovascular disease occurrence and mortality risk was a continuous positive correlation, suggesting that hypertension is independent of cardiovascular and cerebrovascular disease Risk factors. In the meantime, clinical trials in recent years have also shown that lowering blood pressure can significantly reduce the risk of cardiovascular and cerebrovascular diseases, and the benefits of antihypertensive therapy mainly come from blood pressure reduction itself. Is controlling blood pressure the sole goal of guiding hypertension treatment? Should we focus on intervention targets other than blood pressure? Left ventricular hypertrophy
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