Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, 473 West 12th Avenue, Suite 200, Columbus, OH 43210, USA.
Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, 473 West 12th Avenue, Suite 200, Columbus, OH 43210, USA.
Heart Fail Clin. 2019 Oct;15(4):543-550. doi: 10.1016/j.hfc.2019.06.011.
Hypertension is the most common cardiovascular risk factor and underlies heart failure, coronary artery disease, stroke, and chronic kidney disease. Hypertensive heart disease can manifest as cardiac arrhythmias. Supraventricular and ventricular arrhythmias may occur in the hypertensive patients. Atrial fibrillation and hypertension contribute to an increased risk of stroke. Some antihypertensive drugs predispose to electrolyte abnormalities, which may result in atrial and ventricular arrhythmias. A multipronged strategy involving appropriate screening, aggressive lifestyle modifications, and optimal pharmacotherapy can result in improved blood pressure control and prevent the onset or delay progression of heart failure, coronary artery disease, and cardiac arrhythmias.
高血压是最常见的心血管风险因素，可导致心力衰竭、冠状动脉疾病、中风和慢性肾病。高血压性心脏病可表现为心律失常。高血压患者可能发生房性和室性心律失常。心房颤动和高血压会增加中风的风险。一些降压药容易导致电解质异常，从而导致房性和室性心律失常。多管齐下的策略包括适当的筛查、积极的生活方式改变和最佳药物治疗，可以改善血压控制，预防心力衰竭、冠状动脉疾病和心律失常的发生或进展。
