One step-down, single-handedly Tiaozhi

Question
One step-down, single-handedly Tiaozhi
Answer
Talking about the new treatment strategy for hypertension in patients with high blood pressure treatment, blood pressure measures are necessary, it is not controversial, but whether there is a need Tiaozhi it? The latest research shows that in the control of blood pressure in hypertensive patients, the addition of lipid treatment, can significantly reduce the occurrence of myocardial infarction and stroke risk. The discovery of great significance for hypertensive patients in our country because of our patients with cardiovascular disease and stroke are faced with the dual challenges of myocardial infarction. Double challenge, is not optimistic after years of efforts, China#39;s high blood pressure awareness, treatment and control has increased, but still not satisfied with. As we all know,High blood pressure is stroke (stroke) is the primary risk factors, but also lead to coronary heart disease risk factors of myocardial infarction. In 1998, our country due to stroke and myocardial infarction deaths of 260 million, that is to say, every 13 seconds claimed the lives of Chinese people. Stroke prevalence rate continued to rise - In recent years, hemorrhagic stroke (cerebral hemorrhage) have been significantly decreased, but ischemic (occlusive thrombosis) stroke continues to increase, the overall prevalence rate of stroke in the continuous涓婂崌. Prevalence of myocardial infarction and mortality increased dramatically - in China the prevalence of coronary heart disease myocardial infarction and mortality in a sharp increase and rapidYounger. From 1984 to 1999, adult residents of Beijing, the average blood cholesterol levels increased by 24%. As we all know, blood cholesterol levels increased by 1%, the prevalence of coronary heart disease and mortality has increased 2%. Therefore, the 15-year period, the Beijing Municipal adult prevalence of coronary heart disease mortality increased by almost 50%. Of particular concern is that Beijing, 35 ~ 44-year-old male quot;鐧介绮?quot; (white-collar workers, the backbone of the elite) of myocardial infarction mortality rates increased by 156%! 77% of them were attributable to increased cholesterol levels. One step-down, single-handedly Tiaozhi people in the past has been clear, high blood pressure riskFrom the need Tiaozhi. It was felt that, regardless of the oldest drugs used (such as diuretics), or with the latest drugs, as long as the blood pressure down it. In recent years, many large-scale clinical trials to prove the same, as long as careful control of high blood pressure, can significantly reduce stroke, but also to some extent reduce the risk of myocardial infarction; as long as the use of statin cholesterol-lowering drugs can significantly reduce the the risk of myocardial infarction (and non-drug or placebo than to primary or recurrent myocardial infarction are reduced 1 / 3), and further reduce the stroke. Recently, Europe has conducted a large-scale clinical hypertensionTest-bed (ASCOT), the results demonstrated a strong positive control in hypertensive patients based on blood pressure, plus Tiaozhi atorvastatin treatment, can significantly reduce the occurrence of myocardial infarction and stroke risk. Even if it is not yet suffering from high blood pressure in patients with coronary heart disease, the basis of blood before treatment did not significantly higher cholesterol levels and blood pressure in control at the same time, the joint use of conventional doses of atorvastatin (10 ng / day), treatment 3 years around than with placebo, significantly reduced coronary heart disease death, myocardial infarction and stroke risk. To sum up, the new strategy is currently the treatment of high blood pressure should be the primary step-down, single-handedlyTiaozhi. Recently, companies have to lower blood pressure drug Amlodipine cholesterol-lowering drug atorvastatin as a complex combination of agents, a glass of water a day, at the same time a drug can lower blood pressure and cholesterol-lowering. Science of prevention, do not step on the lives of quot;slam the brakesquot; in 2005, and the ancient high Xiumin on sudden death due to myocardial infarction. Stars do not have money of course will not prevent, why are many young stars do? Because people may not die from the disease, but from ignorance, died in the prevention of cardiovascular disease do not understand common sense. Some people are very concerned about the prevention of cardiovascular disease, willing to spend money on prevention, but not counting on defense, the limited medical and healthThere is no evidence of a waste of resources in the quot;health foodquot; on. The prevention of cardiovascular disease should scientific, evidence. China in 2004 with a participation of 51 countries, as long as conscientiously do a good job to stop smoking, reduce blood pressure and cholesterol-lowering, 6 myocardial infarction, 5 can be prevented. The one hand and high blood pressure, the primary use of cholesterol-lowering statins, the Chinese people before the age of 65 do not suffer from myocardial infarction is not a dream. (Editor: Wang Hai-e)
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