Kowalewski Wiesław, Hebel Kazimiera
Ann Acad Med Stetin. 2013;59(1):18-24.
Cardiovascular diseases for decades have been and still are the main and current health problem of the Polish society and there are many reasons for these diseases. Hypertension is one of the major risk factors for developing cardiovascular disease. The factors significantly increasing risk the of cardiovascular disease are in addition to high blood pressure, smoking (also passive), high blood fats (cholesterol and its HDL, LDL fractions as well as triglyceride levels, obesity, lack of exercise, diabetes and hereditary features. Other important factors which play an important role are external factors such as e.g. environmental pollution, lifestyle, stress. Prediction of cardiovascular disease should start from the evaluation of the fetal period because low birth weight may be a risk of coronary heart disease, hypertension, obesity or diabetes in adulthood. The authors of the referred tests showed that the level of blood pressure observed during childhood is closely associated with the level of blood pressure in adults and is also dependent on the body weight. Since the issue of the effects of high pressure on the cardiovascular system is inherent in the issue of the metabolic syndrome, it should be mentioned also that another causative factor may be an irregularity in the removal of urine from the body and the amount of insulin. The control of hypertension is a complex problem, at least in view of the wide range of adverse factors affecting the human body: hypertension is often either a constituent of other lesions. Therefore, it is difficult to treat high blood pressure in the strict sense; more often it is a combination therapy based on pharmacology caused for other reasons.
几十年来,心血管疾病一直是波兰社会的主要健康问题,而且现在依然如此,这些疾病存在诸多成因。高血压是心血管疾病发展的主要风险因素之一。除了高血压之外,显著增加心血管疾病风险的因素还包括吸烟(包括被动吸烟)、高血脂(胆固醇及其高密度脂蛋白、低密度脂蛋白组分以及甘油三酯水平)、肥胖、缺乏运动、糖尿病和遗传特征。其他发挥重要作用的因素是外部因素,例如环境污染、生活方式、压力。心血管疾病的预测应从胎儿期评估开始,因为低出生体重可能是成年后患冠心病、高血压、肥胖症或糖尿病的风险因素。相关测试的作者表明,儿童期观察到的血压水平与成年人的血压水平密切相关,并且还取决于体重。由于高压对心血管系统的影响问题与代谢综合征问题相关,还应提及另一个致病因素可能是身体排尿的不规律以及胰岛素的量。高血压的控制是一个复杂的问题,至少从影响人体的广泛不利因素来看是这样:高血压往往是其他病变的一个组成部分。因此,严格意义上治疗高血压很困难;更多时候是基于其他原因导致的药理学的联合治疗。