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老年女性的心血管疾病和高血压

Cardiovascular disease and hypertension in older women.

作者信息

Nachtigall L E

出版信息

Obstet Gynecol Clin North Am. 1987 Mar;14(1):89-105.

PMID:3306526
Abstract

Cardiovascular disease is extremely rare in premenopausal women except for those who have diabetes or hypertension. It can be surmised, but is not yet proved, that protection from atherosclerotic coronary artery disease is an action related to the production of estrogen. In the consideration of hypertension, true systemic hypertension must be differentiated from blood pressure that is elevated spuriously from excessive sclerosis of the large arteries, which is more common in elderly patients. Both types of hypertension tend to increase with advancing age, and women have a greater incidence overall. All hypertensives should be actively treated.

摘要

除患有糖尿病或高血压的绝经前女性外,心血管疾病在该群体中极为罕见。可以推测,但尚未得到证实,免受动脉粥样硬化性冠状动脉疾病影响是一种与雌激素分泌相关的作用。在考虑高血压时,必须将真正的全身性高血压与因大动脉过度硬化导致血压假性升高区分开来,后者在老年患者中更为常见。这两种类型的高血压往往都随年龄增长而升高,总体而言女性发病率更高。所有高血压患者都应积极接受治疗。

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