-单纯舒张期高血压特点及防治

[e-mail]·1005－2194201201－0030－02R544．1A。IDH＜140mmHg≥90mmHg。ISH、IDH、SDH。。IDHISH、SDH。IDHIDH。Thecharacteristicsofisolateddiastolichypertensionanditspreventionandtreatment．YANGTian-lunCHENPo．XiangyaHospitalCentralSouthUniversityChangsha410008ChinaSummaryHypertensionisanindependentriskfactorofcardiovasculardiseaseCVD．IsolateddiastolichypertensionIDHreferstothesystolicbloodpressure＜140mmHgandthesimultaneousdiastolicbloodpressure≥90mmHg．Hyper-tensioncanbedividedintothreesubtypesisolatedsystolichypertensionISHIDHandsystolicanddiastolichypertensionSDH．IDHisatypeofhypertensionwithlowincidencerate．HoweverinrecentyearsafewlargeclinicalstudiesrevealedthatIDHhadbecomeanindependentriskfactorofCVDjustasISHandSDH．ThusmoreandmoreattentionhadbeenpaidtoIDH．LearningthecharacteristicsandtherapyofIDHwasanimportantpartinantihypertensivetreatmentandCVDpre-vention．KeywordshypertensionIDHcardiovasculardisease、。。。。。。200SCI11。《》4《》9。。。1IDH10%～15%35～49。、。ISH。IDH50。1991318IDH2.8%IDH。2000—200116987135～7427.2%IDH4.4%。8.340IDH03ChineseJournalofPracticalInternalMedicineJan．2012Vol．32No．1996.7/10589.7/10。Framingham10、、、、IDH。2Laragh1“V”－2“R”。IDH。IDH－－RAAS。。。RAAS。3ISHSDH。IDH。。4IDHIDH。lancet5mmHg27%～34%44%。＞110mmHg＜79mmHg13。35IDHISH。Franklin596818IDHIDH。ArimaPROGRESS2。4283ISH、IDH、SDH1923、315、2045。ISH、IDH、SDH27%、28%、32%。DBP≥75mmHg。5IDH≥140/90mmHg。IDH。IDH。5.1IDH。、、。、。。24。5.2IDH。。－。BrownAB/CDAACEI、ARB、Bβ-、C、D。IDH“R”IDHABACEI、ARB、β-。CD。IDHβ-。2011－10－111320121321