Yurdakul Selen, Aytekin Saide
T.C. Istanbul Bilim Universitesi, Kardiyoloji Anabilim Dali, Istanbul.
Turk Kardiyol Dern Ars. 2010 Mar;38 Suppl 1:25-31.
Hypertension is a major risk factor for cerebrovascular and cardiovascular morbidity and mortality. Risk for cardiovascular events differ between men and women. Hypertension in women and its related outcomes are a major public health problem. Trials of drug therapy for hypertension have shown a benefit in preventing cardiovascular and cerebrovascular diseases, however it is still not clear whether treatment benefit is similar for both sexes. Up to date, several studies have examined the gender differences in hypertension but none of them has given sufficient information to guide appropriate treatment of hypertensive women. This review examines epidemiological studies and clinical trials to assess the aspects of hypertension in women and the antihypertensive treatment recommendations for women.
高血压是脑血管病和心血管病发病及死亡的主要危险因素。心血管事件的风险在男性和女性之间存在差异。女性高血压及其相关后果是一个重大的公共卫生问题。高血压药物治疗试验已显示出在预防心血管和脑血管疾病方面的益处,然而,治疗益处对两性是否相似仍不清楚。迄今为止,已有多项研究探讨了高血压的性别差异,但均未提供足够信息来指导对高血压女性的恰当治疗。本综述通过考察流行病学研究和临床试验,来评估女性高血压的各个方面以及针对女性的降压治疗建议。