Suter P M, Häsler E, Vetter W
Medizinische Poliklinik, Universitätsspital, Zürich.
Praxis (Bern 1994). 1998 Jan 28;87(5):145-9, 152-6.
An increase in blood pressure represents one of the most common conditions in daily medical practice. Many different factors are regarded as risk factors for a stroke. Hypertension, cardiac diseases, atrial fibrillation, smoking, diabetes mellitus, alcohol consumption and dyslipidemia are central stroke risk factors. The pathophysiological importance of these different risk factors is discussed. Hypertension represents the most prevalent risk factor for stroke in the general population. A decrease in blood pressure leads in general to a reduction of the risk. Besides an optimal pharmacological control of blood pressure miscellaneous non-pharmacological means should be implemented in any patient with high blood pressure. The most important non-pharmacological means of blood pressure control are discussed in the context of stroke risk.
血压升高是日常医疗实践中最常见的病症之一。许多不同因素被视为中风的危险因素。高血压、心脏病、心房颤动、吸烟、糖尿病、饮酒和血脂异常是主要的中风危险因素。本文讨论了这些不同危险因素的病理生理重要性。高血压是普通人群中最普遍的中风危险因素。一般来说,血压降低会导致风险降低。除了对血压进行最佳药物控制外,任何高血压患者都应采用多种非药物手段。本文在中风风险的背景下讨论了控制血压最重要的非药物手段。