高血压英文ppt精品课件hypertension cardiovascular risk

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1、Hypertension&CardiovascularRiskFactorsFinalYearCardiologyTeaching2013-4OutlineGlobalburdenofcardiovasculardiseaseEpidemiologyofcardiovasculardiseaseHypertensionEpidemiologyClinicalfeaturesInvestigationCardiovascularriskassessmentTheGlobalBurdenofDiseaseThescopeoftheproblemLeadingCausesofDeatha

2、ndDisability(DALY’s)RankCause%RankCause%1Lowerrespiratoryinfections8.21Ischemicheartdisease5.92Diarrhoealdiseases7.22Majordepression5.73Perinatalconditions6.73Roadtrafficaccidents5.14Majordepression3.74Cerebrovasculardisease4.45Ischemicheartdisease3.45COPD4.26Cerebrovasculardisease2.86Lowerres

3、piratoryinfections3.17Tuberculosis2.87Tuberculosis3.08Measles2.78War3.09Roadtrafficaccidents2.59Diarrhoealdiseases2.710Congenitalabnormalities2.410HIV2.619902020GlobalBurdenofDiseaseStudy,1996****WorldHealthReport2002MortalityduetoleadingglobalriskfactorsBurdenofdiseaseduetoleadingglobalriskfa

4、ctors****WorldHealthReport2002CardiovascularriskfactorsBloodpressureLipidsDiabetesSmokingBPandrelativeriskofstrokeandCHDBritMedBull1994;50:272-98ApproximatemeanusualBPApproximatemeanusualBP12376123761368413684148911489116298162981751051751054.002.001.000.500.254.002.001.000.500.25StrokeCHDBloo

5、dPressureandRiskofCongestiveHeartFailure:theFraminghamStudyAverageannualrate/10,000AgeatexaminationNormotensiveBP<140/90mmHgHypertensiveBP>160/95mmHgKanneletal.1972SystolicBPasariskfactorforrenalfailureSystolicBP,mmHgIncidence/100,000personyearsMRFIT‘screenees’KlagMJ,JAMA‘97;277:1293Cholester

6、olandriskofCHD&cardiovasculardeathApproximatemeanusualcholesterol(mmol/l)4.04.55.05.56.04.002.001.000.500.25RelativeRisk(51652participants,310events)Approximatemeanusualcholesterol(mmol/l)4.04.55.05.56.04.002.001.000.500.25RelativeRiskCoronaryHeartDisease(51652participants,310events)RelativeRi

7、skCardiovascularDeath(9studies,49296participants,938events)Approximatemeanusualcholesterol(mmol/l)4.04.55.05.56.04.002.001.000.500.25Approximatemeanusualcholesterol(mmol/l)4.04.55.05.56.04.002.001.000.500.25EasternStroke&CoronaryHeartDi