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心血管代谢综合征:病理生理学与治疗

Cardiometabolic syndrome: pathophysiology and treatment.

作者信息

Castro Jonathan P, El-Atat Fadi A, McFarlane Samy I, Aneja Ashish, Sowers James R

机构信息

Division of Endocrinology, Diabetes and Hypertension, State University of New York Downstate and Brooklyn Veterans Affairs Medical Center, Brooklyn, NY 11203, USA.

出版信息

Curr Hypertens Rep. 2003 Oct;5(5):393-401. doi: 10.1007/s11906-003-0085-y.

Abstract

The cardiometabolic syndrome, an interesting constellation of maladaptive cardiovascular, renal, metabolic, prothrombotic, and inflammatory abnormalities, is now recognized as a disease entity by the American Society of Endocrinology, National Cholesterol Education Program, and World Health Organization, among others. These cardiovascular and metabolic derangements individually and interdependently lead to a substantial increase in cardiovascular disease (CVD) morbidity and mortality, making the cardiometabolic syndrome an established and strong risk factor for premature and severe CVD and stroke. Established and evolving treatment strategies including moderate physical activity, weight reduction, rigorous blood pressure control, correction of dyslipidemia, and glycemic control have proven beneficial in reversing these abnormal responses and decreasing the CVD risk.

摘要

心脏代谢综合征是一组有趣的、适应不良的心血管、肾脏、代谢、血栓形成前和炎症异常组合,目前已被美国内分泌学会、国家胆固醇教育计划和世界卫生组织等认可为一种疾病实体。这些心血管和代谢紊乱单独或相互依存地导致心血管疾病(CVD)发病率和死亡率大幅上升,使心脏代谢综合征成为早发性和严重CVD及中风的既定且强大的危险因素。已确立和不断发展的治疗策略,包括适度体育活动、减重、严格控制血压、纠正血脂异常和控制血糖,已被证明有助于逆转这些异常反应并降低CVD风险。

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