我健康吗我健康吗????????--------女性的热点问题展望女性的热点问题展望女性的死亡率相同年龄,女性死于心脏病多于癌症幸运的是,绝大多数女性CVDCVDCVDCVD是可预防的!!!!SuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseSuperiordoctorspreventthediseaseMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentMediocredoctorstreatthediseasebeforeevidentInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndiseaseInferiordoctorstreatthefull-blowndisease~HuangDeeNai-Chang(2600BC1stChineseMedicalText)~~HuangDeeNai-Chang(2600BC1stChineseMedicalText)~~HuangDeeNai-Chang(2600BC1stChineseMedicalText)~~HuangDeeNai-Chang(2600BC1stChineseMedicalText)~AHAAHAAHAAHAAHAAHAAHAAHA对于女性健康的行动对于女性健康的行动�1999199919991999年::::““““预防女性心脏病指南””””�2004200420042004年::::““““预防女性心血管疾病循证指南””””��20072007200720072007200720072007年年::::::::个案报告个案报告��5252岁,岁,3:30AM3:30AM因胸痛发作从熟因胸痛发作从熟睡中惊醒睡中惊醒��胸痛情况胸痛情况::��前胸条状分布前胸条状分布��不伴下颚及上肢牵涉痛不伴下颚及上肢牵涉痛��没有心悸,气短及大汗没有心悸,气短及大汗��她服用硝酸甘油她服用硝酸甘油0.4mg(0.4mg(从她丈夫那里从她丈夫那里))约约5050分钟后感到胸痛缓解,但仍有轻微的深吸分钟后感到胸痛缓解,但仍有轻微的深吸气痛气痛��她于第二天清早去她于第二天清早去PCPPCP就诊就诊::无胸痛,无胸痛,BPBP132/82mmHg,P70bpm.EKG132/82mmHg,P70bpm.EKG正常正常��PCPPCP开出开出EX-SPECTEX-SPECT及及CTACTA检查,并建议她检查,并建议她去你的心脏病诊所就诊去你的心脏病诊所就诊在诊所在诊所::::::::��无胸痛主诉无胸痛主诉��PE:BP134/84mmHgPE:BP134/84mmHg,体重,体重150lbs(150lbs(身身高高55’’22””,BMI27),BMI27),其它均正常,其它均正常��既往体健,既往体健,33年前绝经年前绝经��无明确家族史无明确家族史检查结果检查结果��CTA:CTA:CTA:CTA:CTA:CTA:CTA:CTA:无肺栓塞无肺栓塞证据证据��EX-SPECT:EX-SPECT:EX-SPECT:EX-SPECT:EX-SPECT:EX-SPECT:EX-SPECT:EX-SPECT:正常正常心肌灌注及心肌灌注及LVEFLVEF正常正常““““““““大夫,我过去非常健康,现在大夫,我过去非常健康,现在我健康吗?我健康吗?答案是答案是1)1)1)1)1)1)1)1)是的,是的,没有明确的没有明确的CADCADCADCADCADCADCADCAD证据证据答案是答案是2)2)2)2)2)2)2)2)不,你有风险不,你有风险::::::::有体重超重有体重超重(BMI27)(BMI27)和高血压前期和高血压前期JNC7JNC7JNC7JNC7JNC7JNC7JNC7JNC7对对BPBPBPBPBPBPBPBP的分级的分级-TheNationalHeart,Lung,andBloodInstitute-TheNationalHeart,Lung,andBloodInstitute正常正常BPBPBPBPBPBPBPBP<120/80<120/80<120/80<120/80<120/80<120/80<120/80<120/80高血压高血压11111111期期140/90~140/90~140/90~140/90~140/90~140/90~140/90~140/90~159/99159/99159/99159/99159/99159/99159/99159/99高血压高血压22222222期期160/100160/100160/100160/100160/100160/100160/100160/100或更或更高高高血压前期高血压前期120/80~120/80~120/...