高血压与心肌梗塞在某些方面紧密联系,本文重点讨论两者联系的途径,及急性或陈旧性心肌梗塞患者伴高血压时的处理。高血压与心肌梗塞的联系有以下几方面。①危险因素:收缩压(SBP)及舒张压(DBP)升高均增加心肌梗塞的危险,并为独立的危险因素。40％缺血性心脏病猝死者有高血压史。但高血压作为危险因素的强度,在世界各地并非完全一致,如南非黑人心肌梗塞发生极少。急性心肌梗塞后血压常发生变化,血压越高者下降越明显。②促进动脉粥样硬化因素:从不同来源的多种证据充分说明高血压若不是动脉硬化始发因素也是加速因素,高血压者冠脉与脑动脉、主动脉内膜面损害较正常人百分率更高,冠脉闭塞也更常 Hypertension and myocardial infarction are closely linked in some aspects. This article focuses on the ways in which the two are linked and the treatment of patients with acute or old myocardial infarction with hypertension. Hypertension and myocardial infarction in the following aspects. ① risk factors: SBP and DBP increase the risk of myocardial infarction, and as independent risk factors. 40% of sudden death from ischemic heart disease have a history of hypertension. However, the strength of hypertension as a risk factor is not exactly the same in all parts of the world. For example, there are very few cases of black myocardial infarction in South Africa. Acute myocardial infarction often changes in blood pressure, the higher the decline in blood pressure more obvious. ② promote atherosclerosis factors: a variety of sources from a variety of evidence that if not hypertension is the starting factor of atherosclerosis is also an accelerating factor in patients with hypertension coronary and cerebral arteries, aortic intimal injury than the normal percentage of more High, coronary occlusion is also more common