【摘 要】
：
结合心律失常伴高血压患者的特点，考虑该患者治疗过程中应同时考虑血压水平、心律失常、心房增大、左心室肥厚、血压晨峰、高脂血症等诸多问题。除积极降压外，还应加强心脏重构的预防，减少心律失常的发生，尤其恶性心律失常的发生，以减少高血压性心律失常引发的一系列严重后果。建议选择如血管紧张素转换酶抑制剂和长效钙离子阻断剂等具有逆转心脏重构的药物，将血压降至较为理想的水平，同时控制血压晨峰，逆转心房扩大及左心室
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结合心律失常伴高血压患者的特点，考虑该患者治疗过程中应同时考虑血压水平、心律失常、心房增大、左心室肥厚、血压晨峰、高脂血症等诸多问题。除积极降压外，还应加强心脏重构的预防，减少心律失常的发生，尤其恶性心律失常的发生，以减少高血压性心律失常引发的一系列严重后果。建议选择如血管紧张素转换酶抑制剂和长效钙离子阻断剂等具有逆转心脏重构的药物，将血压降至较为理想的水平，同时控制血压晨峰，逆转心房扩大及左心室肥厚，改善左心室的舒张功能，减少心律失常的发作，避免心、脑血管事件的发生。
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代谢手术或减重手术起初是外科医生设计用来减轻体质量的方法,后来逐渐发现这类手术能显著改善糖脂代谢状况.近年来多项临床和基础研究证实,代谢手术还能显著降低血压,同时改善高血压相关多种心血管危险因素,是综合治疗高血压的有效方法.其降压作用机制可能与减轻体质量、降低瘦素和心率、增强排钠利尿、增加胰岛素敏感性、改善血管功能、影响胃肠道激素等有关.今后需进一步明确的问题是代谢手术改善或治愈高血压和代谢病的机