(精选)What Is Hypertension_ - CRM Healthcare教学课件.pptVIP

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(精选)What Is Hypertension_ - CRM Healthcare教学课件.ppt

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What Is Hypertension?;*Individuals aged 40-69 years, starting at blood pressure 115/75 mm Hg. CV, cardiovascular; DBP, diastolic blood pressure; SBP, systolic blood pressure. Chobanian AV et al. JAMA. 2003;289(19):2560-2572. Lewington S et al. Lancet. 2002;360(9349):1903-1913.;Non-Hispanic White;NHANES = National Health and Nutrition Examination Survey. Fields, LE et al. Hypertension. 2004;44:398-404.;Ethnic/Racial Differences inPrevalence of Hypertension;Group HTN Prevalence White 21.2% Black/African-American 29.2% Hispanic/Latino 19.6% Asians 16.9% Native Hawaiian/other Pacific Islander 20.7% American Indians/Alaska Natives 25.4%;Contributing Factors: Social, Environmental, or Genetic?;BP Reductions as Small as 2 mm Hg Reduce Risk of CV Events by Up to 10%;AHA Perspective/Hypertension Management and BP Goals Summary of Main Recommendations;Lose weight if overweight Limit alcohol intake to no more than 1 oz (30 mL) of ethanol (ie, 24 oz [720 mL] of beer, 10 oz [300 mL] of wine, 2 oz [60 mL] of 100-proof whiskey) per day or 0.5 (15 mL) ethanol per day for women and people of lighter weight Increase aerobic activity (30-45 min most days of the week) Reduce sodium intake to no more than 100 mmol/d (2.4 g sodium) Maintain adequate intake of dietary potassium (approximately 90 mmol/d) Maintain adequate intake of dietary calcium and magnesium for general health Stop smoking and reduce intake of dietary saturated fat and cholesterol for overall cardiovascular health ;Modification;Hypertension Increases With Obesity in Women—Especially After Age 45;Reasons for Inadequate BP Control;Prevalence of Nonbiomedical Expectationsin African-Americans (N = 93);*Computed by M. Wolz (unpublished data cited by Chobanian et al.) Adapted from Chobanian