Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Faculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan.
J Clin Hypertens (Greenwich). 2021 Mar;23(3):467-474. doi: 10.1111/jch.14111. Epub 2020 Nov 29.
Isolated systolic hypertension (ISH) is the most common type of essential hypertension in the elderly and young adults. With rapid industrialization and population aging, the prevalence of ISH in Asia will rise substantially. Asian populations have distinct epidemiological features, risk factors and are especially vulnerable to ISH. There is a pressing need for Asian countries to formulate their unique strategies for control of ISH. In this review, we focus on the (1) epidemiology and pathophysiology, (2) risk factors and impact on outcomes, and (3) treatment goal and strategy for ISH in Asia.
孤立性收缩期高血压(ISH)是老年人和青年人中最常见的原发性高血压类型。随着工业化和人口老龄化的快速发展,亚洲ISH 的患病率将大幅上升。亚洲人群具有独特的流行病学特征、危险因素,且尤其易患 ISH。亚洲各国迫切需要制定独特的 ISH 控制策略。在这篇综述中,我们重点关注(1)ISH 在亚洲的流行病学和病理生理学,(2)危险因素和对结局的影响,以及(3)ISH 的治疗目标和策略。