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[ASH2012]合并冠状动脉疾病的高血压的治疗——美国纽约James J. Peters VA医学中心Clive Rosendorff教授专访

作者:  C.Rosendorff   日期:2012/5/28 15:55:46

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《国际循环》:合并冠心病和不合并冠心病的高血压患者在治疗上有哪些区别?

   <International Circulation>:What is your advice to the clinician in paying attention to the treatment of hypertension for those with coronary disease?
  Dr Rosendorff: I would say simply that we know that outcomes are better if the blood pressure is normal than if the blood pressure is elevated in patients with coronary artery disease. There have been many studies to show that. It is very important that high blood pressure be aggressively treated as well as all of the other risk factors for the progression of coronary artery disease including blood lipids, diabetes, cessation of smoking, weight loss and a graded and careful exercise program. All of these things are as important as blood pressure lowering and it is a package of risk factor lowering strategies that is critical.

  《国际循环》:您对临床医生治疗冠心病患者的高血压有哪些建议?
  Rosendorff博士:我想简单说的是,我们知道血压正常的冠心病患者要较血压升高的冠心病患者转归更好。很多研究证实了这一点。积极治疗高血压和冠心病进展的其他危险因素是非常重要的,包括治疗高血脂、糖尿病、戒烟、减肥和分级制定运动计划。这些都跟降压同等重要,降低各种危险因素的策略是至关重要的。

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