2024-03-29T14:46:13Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00015402
2022-12-15T03:47:09Z
453:456
471:537:538:1086
Significance of Management of Hypertension in Stroke Patients in Community
2)地域社会における高血圧症の位置づけ : 脳血管障害との関連(シンポジウム 高血圧治療の進歩, 第556回新潟医学会)
2)地域社会における高血圧症の位置づけ : 脳血管障害との関連(シンポジウム 高血圧治療の進歩, 第556回新潟医学会)
山崎, 元義
98723
Hypertension
Stroke
primary prevention
Asymptomatic cerebrovascular lesion
高血圧症
脳血管障害
脳梗塞
一次予防
無症候性脳血管障害
Hypertension is the most important risk factor of cerebrovascular disease. Its management is urgent problem in our community, especially in this era of Brain Attack. It has been established that antihypertensive drug treatment reduces the rate of stroke, not only fatal, but also non-fatal. Recent megatrials show that calcium channel blockers and ACE inhibitors are also effective other than betablockers and diuretics for primary prevention of stroke. But secondary prevention of stroke of these drugs are not established. Further studies are needed to clarify the effect and mechanism of antihypertension treatment for the prevention of stroke. The presence of J-curve phenomenon, different prognosis between dipper and non-dipper are matters of controversy. Recently, MRI revealed the presence of asymptomatic silent cerebral lesions. These are considered subclinical stroke and closely associated with hypertension. But its mechanism and treatment are not known. Stroke Data Bank is indispensable for stroke prevention research in our community.
departmental bulletin paper
新潟医学会
2000-06
application/pdf
新潟医学会雑誌
6
114
216
218
新潟医学会雑誌
AN00182415
00290440
https://niigata-u.repo.nii.ac.jp/record/15402/files/114(6)_216-218.pdf
jpn