高血压合并冠心病降压治疗新策略——降压达标降低心血管事件

来源 :中国实用内科杂志 | 被引量 : 0次 | 上传用户:CaT614
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治疗高血压的主要目标是最大程度地降低长期心血管发病和死亡的总危险。多数临床研究显示,血压控制达标需要多种药物联合治疗才能达到。同时高血压合并冠心病患者仅仅降压是不够的,综合管理冠心病患者的多重心血管危险因素是十分重要的,除降压达标外,血脂、糖尿病、吸烟等危险因素的管理同样不可忽视。同时所有患者在服药的基础上,都要进行适当的生活方式调整,包括限盐、戒烟、限制饮酒、饮食调整、适度运动、控制体重等。 The main goal of treating hypertension is to minimize the overall risk of long-term cardiovascular morbidity and mortality. Most clinical studies have shown that achieving blood pressure compliance requires multiple drug combinations to be achieved. At the same time, hypertension alone is not enough for patients with coronary heart disease. It is very important to comprehensively manage multiple cardiovascular risk factors in patients with coronary heart disease. In addition to the compliance with antihypertensive standards, the management of risk factors such as lipids, diabetes and smoking can not be ignored. At the same time all patients on the basis of taking medication, must carry on the appropriate lifestyle adjustment, including salt restriction, smoking cessation, alcohol restriction, diet adjustment, moderate exercise, weight control and so on.
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