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Updated: Jan 10, 2026
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Disorders of Erythrocytes
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循環器血圧モニタリングの診断基準は,10年間の心血管リスクに基づいています
Masahiro Kikuya1, Tine W Hansen, Lutgarde Thijs
1Tohoku University Graduate School of Pharmaceutical Science and Medicine, Sendai, Japan.
Circulation
|April 11, 2007
まとめ
心血管疾患のアウトカムに基づいた新しい歩行式血圧 (ABP) の値は,現在のガイドラインが示唆しているよりも低い. これらの発見は,ABPモニタリングを使用して高血圧を診断するためのより正確な基準フレームを提供します.
科学分野:
- 心臓病学 心臓病学
- 高血圧の研究 高血圧の研究
- 公衆衛生は公衆衛生である.
背景:
- 現在の出動式血圧 (ABP) 診断基準は,参照集団からの統計的規範に依存しています.
- 心血管疾患のリスクをより良く評価するために,結果主導の値が必要である.
研究 の 目的:
- 外出式血圧 (ABP) 測定のための結果主導の基準フレームを確立する.
- 特定の10年間の心血管疾患リスクに関連するABPの値を決定する.
主な方法:
- 4つの国際的な将来的な人口研究で5682人の参加者を対象に24時間ABPモニタリングを行いました.
- 定義された心血管疾患リスクに関連したABPの値を特定するための多変量分析.
- 心血管のエンドポイント (脳卒中,心臓発作) に対する長期追跡.
主要な成果:
- 24時間,昼間,夜間における最適,正常,高血圧のカテゴリーにおけるシストリック/ダイアストリックABPの値を特定した.
- 最適なABPの値 (丸められている):115/75mmHg (24h),120/80mmHg (昼),100/65mmHg (夜).
- 正常なABPの値 (丸められている):125/75mmHg (24h),130/85mmHg (昼),110/70mmHg (夜).
結論:
- 人口ベースの,結果主導のABPの値は,現在の高血圧ガイドラインの推奨値より低い.
- この研究は,ABPモニタリングによる高血圧の診断に,より正確でリスク分層化されたアプローチを提供します.
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