Goeder Daniel, Oberhoffer Renate
Lehrstuhl für Präventive Pädiatrie, Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München, Georg-Brauchle-Ring 60/62, München, Deutschland.
Herz. 2020 Feb;45(1):24-29. doi: 10.1007/s00059-019-04887-x.
Cardiovascular diseases are among the leading causes of death worldwide. Apart from a few exceptions heart attack, stroke and peripheral arterial occlusive disease first occur in later adulthood. The cornerstone for these diseases, however, is already laid by accelerated vascular aging in childhood. Apart from pediatric medical preventive check-ups, the medical care of the parents should also be a reason for taking action. A detailed family history enables many conclusions to be drawn about the cardiovascular risk of the next generation This requires targeted diagnostics and appropriate interventions in childhood ranging from lifestyle measures up to pharmaceutical therapy. In this context the current guidelines on the diagnostics and treatment of hypercholesterolemia and arterial hypertension in children and adolescents are also presented.
心血管疾病是全球主要死因之一。除了少数例外情况，心脏病发作、中风和外周动脉闭塞性疾病首次发生在成年后期。然而，这些疾病的基础在儿童时期就已由加速的血管老化奠定。除了儿科医疗预防检查外，父母的医疗保健也应成为采取行动的理由。详细的家族病史有助于得出许多关于下一代心血管风险的结论。这需要在儿童时期进行有针对性的诊断和适当的干预，范围从生活方式措施到药物治疗。在此背景下，还介绍了当前关于儿童和青少年高胆固醇血症及动脉高血压诊断和治疗的指南。
