文档介绍：该【高血压代谢危险因素控制面临的困惑与启示 祝之明 】是由【落意心冢】上传分享，文档一共【41】页，该文档可以免费在线阅读，需要了解更多关于【高血压代谢危险因素控制面临的困惑与启示 祝之明 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。高血压代谢危险因素控制面临的困惑与启示_祝之明DyslipidemiaAbdominalObesityDiabetesUricacidRenallesionEndotheliumdamageHypertensiveSyndrome-ConstellationsofCardiometabolicRiskFactorsHypertension80%高血压危险因素CVD事件更强调危险因素的早期控制更关注血管和代谢因素的相互作用对高血压的危险进行总体评估防治上既遵循循证医学证据,也强调个体化治疗AbdominalobesityWaistcircumference>102cm(M),88cm(W)DyslipidaemiaTC>()orLDL-C>()orHDL-C:M<(40mg/dL),W<(46mg/dL)or:TG>(150mg/dL)IFG&-(102-125mg/dL)AbnormalglucosetolerancetestESC/ESH2019高血压指南Metabolicsyndrometheclusterofthreeoutof5riskfactorsamongabdominalobesity,alteredfastingplasmaglucose,BP≥130/85mmHg,lowHDL-cholesterolandhighTG(asdefinedabove)DiabetesMellitusFastingplasma≥(126mg/dL)onrepeatedmeasurements,orPostloadplasmaglucose>(198mg/dL)(JHypertens2019,25:1105)ESC/ESH2019——关注高血压伴发的代谢异常(JHypertens2019,25:1105)如何评估高血压的代谢危险性DiabetesVascDisRes2019;5:9–(USA)Age,Sex,SBP,TC,Smoking,HDL-(UK)Age,Sex,SBP,Smoking,TC/HDL-c,(Germany)Age,LDL-c,TC,smoking,HDL-c,SBP,FHofMI,DM,(China)Age,Sex,SBP,BMI,TC,Smoking,DM危险分层:ESC/ESH靶器官损害的评价肥胖与AMIObesityandtheriskofmyocardialinfarctionin27000participantsfrom52countries:acase-controlstudyYusufS,;366:1640NicolettiI,,2019,107:395–399Paradoxprognosis:excessbodyweighthaveaparadoxicalprotectiverole?