中年立陶宛男性的心血管风险因素:对明显抗性高血压组进行比较研究
Vaida Šileikienė1,2, Vilma Dženkevičiūtė1,2, Alma Čypienė1,2,3
1Clinic of Cardiac and Vascular Diseases, Santariškių Str. 2, 08406 Vilnius, Lithuania.
Biomedicines
|February 26, 2025
概括
高血压影响了近一半的立陶宛男性,10%的人患有明显抗性高血压 (aRHTN). aRHTN组显示更多的风险因素和较少的治疗成功,突出需要更好的心血管风险管理.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高血压 (HTN) 是一个主要的心血管疾病 (CVD) 风险因素.
- 表面抗性高血压 (aRHTN) 影响患者的血压控制不充分,尽管治疗.
- 了解aRHTN中的风险因素对于预防心血管疾病至关重要.
研究的目的:
- 确定中年立陶宛男性患有HTN和aRHTN的心血管风险因素的流行率.
- 评估这些群体中高血压管理的有效性.
- 为减少心血管疾病负担的战略提供信息.
主要方法:
- 在立陶宛高心血管风险计划 (LitHiR) (2009-2019) 中对52,012名男性的数据进行分析.
- 分类为治疗高血压 (HTN) 和明显耐药高血压 (aRHTN) 组.
- 各组之间心血管风险因素流行率和治疗成功率的比较.
主要成果:
- 整体HTN患病率为47%;9.9%的接受治疗的高血压男性有RHTN.
- 脱脂症在两组中都非常普遍 (94.1%的HTN与95.5%的aRHTN相比).
- aRHTN组的糖尿病率较高 (25.9%与18.5%相比),代谢综合征 (75.3%与66.3%相比) 和左心室缩 (59.4%与43.1%相比).
- 在aRHTN组中,治疗成功率明显较低 (7.57%vs.28.4%).
结论:
- 高血压的患病率很高,很大一部分人患有aRHTN.
- aRHTN与较大的心血管风险因素负担和较差的治疗结果有关.
- 加强心血管风险因素的管理是必不可少的,特别是对于aRHTN人群来说,以减轻心血管疾病风险.
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