Bachir Cherif A, Bouamra A, Taleb A, Bouraghda A, Rabia S, Imouloudene N, Temmar M, Bouafia M T
Service de médecine interne et cardiologie CHU Blida, université de Blida 1, 9000 Blida, Algérie.
Service d'épidémiologie CHU Blida, 9000 Blida, Algérie.
Ann Cardiol Angeiol (Paris). 2016 Jun;65(3):146-51. doi: 10.1016/j.ancard.2016.04.015. Epub 2016 May 17.
Assess the prevalence, the degree of control, and the comorbidities of hypertension in postmenopausal women.
This is a cohort descriptive and prospective study conducted in 2years in a population with hypertension treated for arterial hypertension in specialized university hospital in Blida, which included one thousand seven hundred and twenty-one postmenopausal women with amenorrhea fore more than 12 consecutive months. All anthropometric data were recorded. All cardiovascular complications were sought. All calculations and statistical analysis are processed by the SPSS 20.0.
The mean age of onset menopause is 50.7±6.2yearsold. The prevalence of hypertension is 71%, significantly higher in postmenopausal women aged 65 and over. Among women, 82.3% had a systolic arterial pressure>150mmHg and 42.2% had a diastolic arterial pressure>90mmHg. The prevalence of diabetes was 34.8%, and 88.4% presented type 2 diabetes. Tobacco in 1.3%, hypoHDLmia in 52%, the hypertriglyceridemia in 43.5%, obesity in 31.7%. The metabolic syndrome in 57.8%. The major cardiovascular complications observed are: stroke in 26.4%, heart failure in 14.8%, myocardial infarction in 13.2%, renal failure in 10.1%. The control of high blood pressure is achieved only in 31.7%.
The systolic blood pressure is more important than the diastolic blood pressure in postmenopausal women. The cerebral vascular accident remains the most feared complication. The control of hypertension remains not enough and the balance of arterial pressure figures is highly recommended to avoid morbidity and fatal complications.
评估绝经后女性高血压的患病率、控制程度及合并症。
这是一项队列描述性前瞻性研究，在两年内对位于布利达的一所专业大学医院中接受动脉高血压治疗的高血压患者群体进行，其中包括1721名绝经后连续闭经超过12个月的女性。记录了所有人体测量数据，查找了所有心血管并发症。所有计算和统计分析均使用SPSS 20.0进行处理。
绝经的平均年龄为50.7±6.2岁。高血压患病率为71%，在65岁及以上的绝经后女性中显著更高。在这些女性中，82.3%的收缩压>150mmHg，42.2%的舒张压>90mmHg。糖尿病患病率为34.8%，其中88.4%为2型糖尿病。吸烟率为1.3%，低高密度脂蛋白血症患病率为52%，高甘油三酯血症患病率为43.5%，肥胖患病率为31.7%。代谢综合征患病率为57.8%。观察到的主要心血管并发症有：中风占26.4%，心力衰竭占14.8%，心肌梗死占13.2%，肾衰竭占10.1%。高血压仅在31.7%的患者中得到控制。
绝经后女性中收缩压比舒张压更重要。脑血管意外仍然是最可怕的并发症。高血压的控制仍然不足，强烈建议平衡动脉压数值以避免发病和致命并发症。
