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高血压:一个持续存在的公共卫生问题。

Hypertension: A Continuing Public Healthcare Issue.

作者信息

Goorani Samaneh, Zangene Somaye, Imig John D

机构信息

Department of Pharmaceutical Sciences, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

Faculty of Medicine, University of Tehran, Tehran 1416634793, Iran.

出版信息

Int J Mol Sci. 2024 Dec 26;26(1):123. doi: 10.3390/ijms26010123.

DOI:10.3390/ijms26010123
PMID:39795981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11720251/
Abstract

Hypertension is a cardiovascular disease defined by an elevated systemic blood pressure. This devastating disease afflicts 30-40% of the adult population worldwide. The disease burden for hypertension is great, and it greatly increases the risk of cardiovascular morbidity and mortality. Unfortunately, there are a myriad of factors that result in an elevated blood pressure. These include genetic factors, a sedentary lifestyle, obesity, salt intake, aging, and stress. Although lifestyle modifications have had limited success, anti-hypertensive drugs have been moderately effective in lowering blood pressure. New approaches to control and treat hypertension include digital health tools and compounds that activate the angiotensin receptor type 2 (AT2), which can promote cardiovascular health. Nonetheless, research on hypertension and its management is vital for lessening the significant health and economic burden of this condition.

摘要

高血压是一种由系统性血压升高所定义的心血管疾病。这种极具破坏性的疾病困扰着全球30%至40%的成年人口。高血压的疾病负担很重,它会大幅增加心血管发病和死亡的风险。不幸的是,导致血压升高的因素众多。这些因素包括遗传因素、久坐不动的生活方式、肥胖、盐摄入量、衰老和压力。尽管生活方式的改变取得的成功有限,但抗高血压药物在降低血压方面已取得一定成效。控制和治疗高血压的新方法包括数字健康工具以及激活2型血管紧张素受体(AT2)的化合物,后者可促进心血管健康。尽管如此,关于高血压及其管理的研究对于减轻这种疾病带来的重大健康和经济负担至关重要。

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Eur J Intern Med. 2025 Feb;132:18-26. doi: 10.1016/j.ejim.2024.10.016. Epub 2024 Nov 2.
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2024 ESC Guidelines for the management of elevated blood pressure and hypertension.2024年欧洲心脏病学会高血压管理指南
Eur Heart J. 2024 Oct 7;45(38):3912-4018. doi: 10.1093/eurheartj/ehae178.
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A New Class of Drugs Approved in the United States for Hypertension: Endothelin Antagonists.美国批准的一类用于治疗高血压的新型药物:内皮素拮抗剂。
The hidden role of left atrial strain: insights into end-organ damage in dipper and nondipper hypertension.
左心房应变的潜在作用:对杓型和非杓型高血压患者靶器官损害的新认识
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A Non-Coronary, Peripheral Arterial Atherosclerotic Disease (Carotid, Renal, Lower Limb) in Elderly Patients-A Review PART II-Pharmacological Approach for Management of Elderly Patients with Peripheral Atherosclerotic Lesions outside Coronary Territory.老年患者的非冠状动脉外周动脉粥样硬化疾病(颈动脉、肾动脉、下肢)——综述 第二部分——冠状动脉以外区域外周动脉粥样硬化病变老年患者的药物治疗方法
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The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy.世界卫生组织 2023 年全球高血压报告警告全球新兴的高血压负担及其治疗策略。
Hypertens Res. 2024 May;47(5):1099-1102. doi: 10.1038/s41440-024-01622-w. Epub 2024 Mar 5.
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Multifactorial prevention program for cardiovascular disease in primary care: hypertension status and effect on mortality.初级保健中的心血管疾病多因素预防计划:高血压状况及其对死亡率的影响。
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Hypertension linked to Alzheimer's disease via stroke: Mendelian randomization.高血压通过中风与阿尔茨海默病相关:孟德尔随机化研究。
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