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主要的阿尔多斯特罗尼症:诊断和治疗的实用方法
James Brian Byrd1, Adina F Turcu2, Richard J Auchus2,3
1Division of Cardiovascular Medicine (J.B.B.).
Circulation
|October 26, 2018
概括
主要的阿尔多斯特 (PA) 是二次高血压的常见原因,导致显著的心血管损伤. 常规查和有针对性的治疗可以改善高血压患者的结果.
科学领域:
- 内分泌学
- 心脏病学
- 肝脏病学
背景情况:
- 主要的阿尔多斯特隆症 (PA) 是二次高血压的最常见原因.
- 上腺细胞的体质突变与PA的发病有关,这表明有多种疾病形式.
- 与初级高血压相比,高血压显著增加了心血管疾病,包括心力衰竭,中风,心肌梗塞和心房动.
研究的目的:
- 总结与PA相关的患病率和心血管风险.
- 描述PA查,转诊和管理的实用方法.
- 强调高血压患者定期进行血压查的重要性.
主要方法:
- 关于心脏病发病率和心血管疾病的文献综述
- 制定一种用于PA查和管理的实用指南.
- 强调临床证据和治疗建议.
主要成果:
- 这种高血压比原发性高血压更常见,并且会对末端器官造成更大的损伤.
- 可以进行血压查,治疗可以改善血压并降低心血管风险.
- 目前对抗胰腺炎的查率仍然很低,治疗方法的使用率也很低.
结论:
- 所有治疗高血压的医生都应定期对患者进行血压查.
- 早期发现和治疗肺炎对于缓解心血管疾病至关重要.
- 包括矿物质皮质体受体抗剂在内的向疗法使用不足,但有效.
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