[高血压是心血管疾病的危险因素]。

Wiesław Kowalewski, Kazimiera Hebel
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摘要

几十年来,心血管疾病一直是波兰社会当前的主要健康问题,造成这些疾病的原因有很多。高血压是发生心血管疾病的主要危险因素之一。除了高血压、吸烟(也是被动的)、高血脂(胆固醇及其高密度脂蛋白、低密度脂蛋白分数以及甘油三酯水平)、肥胖、缺乏运动、糖尿病和遗传特征外,显著增加心血管疾病风险的因素还包括。其他起重要作用的重要因素是外部因素,如环境污染、生活方式、压力。对心血管疾病的预测应从胎期评估开始,因为低出生体重可能是成年后冠心病、高血压、肥胖或糖尿病的危险因素。上述测试的作者表明,儿童时期观察到的血压水平与成人血压水平密切相关,也取决于体重。由于高血压对心血管系统的影响问题是代谢综合征问题固有的,因此还应该提到的是,另一个致病因素可能是从体内排出尿液和胰岛素量的不规律。高血压的控制是一个复杂的问题,至少考虑到影响人体的不利因素范围广泛:高血压往往是其他病变的一个组成部分。因此,很难在严格意义上治疗高血压;更多情况下,它是基于其他原因引起的药理学的联合治疗。
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[Elevated blood pressure as cardiovascular risk factor].

Cardiovascular diseases for decades have been and still are the main and current health problem of the Polish society and there are many reasons for these diseases. Hypertension is one of the major risk factors for developing cardiovascular disease. The factors significantly increasing risk the of cardiovascular disease are in addition to high blood pressure, smoking (also passive), high blood fats (cholesterol and its HDL, LDL fractions as well as triglyceride levels, obesity, lack of exercise, diabetes and hereditary features. Other important factors which play an important role are external factors such as e.g. environmental pollution, lifestyle, stress. Prediction of cardiovascular disease should start from the evaluation of the fetal period because low birth weight may be a risk of coronary heart disease, hypertension, obesity or diabetes in adulthood. The authors of the referred tests showed that the level of blood pressure observed during childhood is closely associated with the level of blood pressure in adults and is also dependent on the body weight. Since the issue of the effects of high pressure on the cardiovascular system is inherent in the issue of the metabolic syndrome, it should be mentioned also that another causative factor may be an irregularity in the removal of urine from the body and the amount of insulin. The control of hypertension is a complex problem, at least in view of the wide range of adverse factors affecting the human body: hypertension is often either a constituent of other lesions. Therefore, it is difficult to treat high blood pressure in the strict sense; more often it is a combination therapy based on pharmacology caused for other reasons.

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