体位性低血压与心脑血管疾病

被引:24
作者
樊晓寒
吴海英
惠汝太
机构
[1] 北京阜外心血管病医院高血压诊治中心
关键词
体位性低血压; 收缩压; 心血管; 药源性; 心脑血管事件; 心肌梗死; 心脑血管疾病; 高血压患者; 神经源性; 压力反射; 外周血管阻力; 舒张压; 全因死亡;
D O I
10.16439/j.cnki.1673-7245.2009.09.019
中图分类号
R544.2 [低血压]; R54 [心脏、血管(循环系)疾病]; R743 [脑血管疾病];
学科分类号
摘要
体位性低血压在老年、高血压、糖尿病人群中较为常见,但临床上常被忽略。近来临床研究和流行病学调查发现,体位性低血压与心脑血管疾病如脑卒中、心肌梗死、冠心病等不良心脑血管事件及心血管死亡和全因死亡密切相关,提示在高危人群中早期识别和诊断体位性低血压,有助于正确评价患者临床状况和用药情况,有助于指导治疗和提高预后。
引用
收藏
页码:858 / 862
页数:5
相关论文
共 9 条
[1]   体位性低血压诊治的现代概念 [J].
何秉贤 .
中华高血压杂志, 2008, 16 (02) :101-102
[2]   老年人体位性低血压合并卧位高血压 [J].
李华 ;
李锐洁 .
中华高血压杂志, 2007, (04) :346-349
[3]  
Orthostatic Hypotension and Risk of Cardiovascular Disease in Elderly People: The Rotterdam Study[J] . Germaine C.Verwoert,Francesco U. S.Mattace‐Raso,AlbertHofman,JanHeeringa,Bruno H. C.Stricker,Monique M. B.Breteler,Jacqueline C. M.Witteman.Journal of the American Geriatrics Society . 2008 (10)
[4]  
Orthostatic Hypotension Predicts Mortality in Middle-Aged Adults: The Atherosclerosis Risk in Communities (ARIC) Study[J] . Kathryn M. Rose,Marsha L. Eigenbrodt,Rebecca L. Biga,David J. Couper,Kathleen C. Light,A Richey Sharrett,Gerardo Heiss.Circulation . 2006 (7)
[5]   Orthostatic hypotension and the risk of myocardial infarction in the home-dwelling elderly [J].
Luukinen, H ;
Koski, K ;
Laippala, P ;
Airaksinen, KEJ .
JOURNAL OF INTERNAL MEDICINE, 2004, 255 (04) :486-493
[6]  
U-curve relationship between orthostatic blood pressure change and silent cerebrovascular disease in elderly hypertensives[J] . Kazuomi Kario,Kazuo Eguchi,Satoshi Hoshide,Yoko Hoshide,Yuji Umeda,Takeshi Mitsuhashi,Kazuyuki Shimada.Journal of the American College of Cardiology . 2002 (1)
[7]  
Orthostatic hypotension and the incidence of coronary heart disease: the atherosclerosis risk in communities study[J] . Kathryn M Rose,Herman A Tyroler,Christopher J Nardo,Donna K Arnett,Kathleen C Light,Wayne Rosamond,A.Richey Sharrett,Moyses Szklo.American Journal of Hypertension . 2000 (6)
[8]  
Orthostatic Hypotension Predicts Mortality in Elderly Men: The Honolulu Heart Program[J] . Kamal H. Masaki,Irwin J. Schatz,Cecil M. Burchfiel,Dan S. Sharp,Darryl Chiu,Daniel Foley,J. David Curb.Circulation . 1998 (21)
[9]  
Population-based study on theprevalence and correlates of orthostatic hypotension/hypertensionand orthostatic dizziness. Wu JS,Yang YC,Lu FH,et al. Hypertension Research . 2008