关键词: 高血压, 心血管疾病风险评估, 心血管疾病

Abstract: Objective To predict the risk and trends of 10-year risk for cardiovascular diseases in elderly hypertensive population and to provide foundation data for the prevention and treatment of ischemic cardiovascular disease(ICVD). Methods Baseline data in 2016 and those of return visit in 2017 from 972 elderly hypertensive patients were collected and processed. Risk assessment and stratification of 10-year risk for cardiovascular disease(CVD) were conducted according to ICVD model. Results Compared with 2016, the absolute risk of 10-year risk of ICVD was much higher in 2017, raised from 12.8% to 16.8%(P＜0.01). In 2016, the proportion of the participants with high ICVD risk was raised from 59.3% to 67.7% (P＜0.01).Analysis on 154 patients with increased ICVD risk in this population revealed that body mass index (BMI), waist circumstance (WC), systolic blood pressure(SBP), blood glucose, blood lipids, blood urea nitrogen (BUN) and creatinine (Cr) were increased (P<0.01), the prevalence of overweight and obesity, hypercholesterolemia, hypertriglyceridemia, diabetes, metabolic syndrome, and impaired renal function were increased (P<0.01), suggesting that the increased 10-year risk of154 ICVD patients is related to the increase of these factors. Conclusion The level of cardiovascular disease risk factors in elderly hypertensive population in Tianjin community is relatively high, and is showing an upward trend. The risk of ICVD in the next 10 years is relatively high, and effective intervention should be strengthened according to risk factors.

Key words: hypertension, cardiovascular risk assessment, cardiovascular disease