高脂血症与高血压药物的关系

T. R. Martinez
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引用次数: 0

摘要

如果不考虑某些降压药引起继发性高胆固醇血症或高甘油三酯血症的伴随效应,就不能同时考虑高血压和高脂血症作为肾脏和心血管疾病的附加危险因素。高血压和动脉粥样硬化是与慢性肾功能衰竭患者发病率和死亡率相关的两个重要危险因素。高血压肾病作为终末期肾脏疾病的一个主要原因,其发病率增高已被报道。在这些患者中,心血管发病率估计约为一般人群的10至20倍,并且可能存在于一半的dyalysis患者中。高血压会加速动脉粥样硬化的发展。另一方面,血脂异常与高血压肾病的更高损害、心肌肥大和高血压患者心血管事件的发生率相关。高血压的治疗可以改变血脂和高脂血症引起的动脉粥样硬化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hyperlipidemia Associations with Hypertension Medications
Simultaneity of hypertension and hyperlipidemia as added risk factors for renal and cardiovascular disease cannot be approached without considering concomitant effect of some antihypertensive agents causing secondary hypercholesterolemia or hypertriglyceridemia. Hypertension and atherosclerosis are two important and related risk factors associated with the morbidity and mortality of patients with chronic renal failure. Increased prevalence of hypertensive nephropathy as a major cause of end stage renal disease has been reported. Among these patients, the cardiovascular morbidity is estimated around 10 to 20 times that observed in the general population and may be present in half of patients under dyalisis. Hypertension accelerates the development of atherosclerosis. On the other hand, dyslipidemias are associated to a higher dammage of hypertensive renal disease, aswell as to myocardial hypertrophy and to the incidence of cardiovascular events in hypertensive patients. Treatment of hypertension can modify the lipid profile and atherosclerosis induced by hyperlipidemia.
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