高血压英文版PPT演示课件

,1,anatomy,2,3,PathogenesisofHypertension,Hereditaryandgenehypothesis20-40%populationhavehereditarytendency,4,Environmentalfactors,Overweighthighsaltdiet,drunk,5,PathophysiologyofHypertension,BP=COXSVRCO:cardiacoutputbloodvolume，HR，myocardialcontractilitySVR：systolicvolumeratioarteriolestructureComplianceofVesselwall,6,PsychologicalfactorsReninangiotensinaldosteronesystem（RAAS）SodiumandhypertensionAbnormalityofvascularendothelium（ET，NO，AngII,PGI2,etc)Insulinresistancerevascularizationother（obesity，smoking，drinking，hypocalcium,hypomagnesium,hypopotassium）,7,ClinicalManifestation,Earlysymptom:greatBPvariationheadache，dizziness，palpitation，fatigueLatesymptom:manifestationofcomplicationsbrain,heart，eye,kidney,vesseldamage,8,Diagnosis,SBP140mmHgand/orDBP90mmHg2ormorethantwicenotinthesamedayundernonpharmacologicalcondition,9,classifySBP（mmHg)DBP(mmHg)IdeaBP=180=110,注：当收缩压与舒张压属不同级别时，应该取较高的级别分类。,10,RiskstratificationofCVdisease,血压（mmHg)其他危险因素D1D2D3和病史I无其他危险因素LRGMRGHRGII1-2个危险因素MRGMRGEHRGIII3个危险因素或靶器官损害HRGHRGEHRG或糖尿病IV并存临床情况EHRGEHRGEHRG,11,ClinicalEvaluationofhypertension,EvaluationofBPlevelExclusionsecondaryhypertensionEvaluationoftargetorgandamageOthercardiovascularriskfactorsandotherclinicalconditiontoeffectonprognosis,12,Riskfactorofcardiovasculardisease,male55,female65smokingTotalcholesterol5.72mmol/L(250mg/dl)diabetesEarlycardiovascularfamilyhistory（earlyonsetofCVdiseasemale55；female65),13,Non-medicationtreatment,BMI(Kg/m2)=24BPdrops5-20pointswith10kgwtlossLifestyleModificationstoLowerBloodPressureReducesodiumintake：6greducefatintake：lessthan30%oftotaleatmoregreensanddairyproductsrestricalcoholintake：177mmol/L或2.0mg/dL),心脏疾病心肌梗死心绞痛冠状动脉血运重建(PTCA,PCI,CABG)充血性心力衰竭左心