子どもや青少年における高血圧の低診断
Matthew L Hansen1, Paul W Gunn, David C Kaelber
1School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
JAMA
|August 23, 2007
まとめ
小児の高血圧と高血圧前症は,しばしば診断されない. 年齢,身長,肥満,高血圧の頻度の測定などの要因は,子供の診断の可能性を高めます.
科学分野:
- ペディアトリック・カルディオロジー
- 公衆衛生は公衆衛生である.
- 臨床小児科 臨床小児科
背景:
- 小児高血圧の罹患率は増加しており,肥満の流行に関連しています.
- 小児高血圧の診断は,年齢,性別,および身長に依存する血圧の規範のために困難です.
研究 の 目的:
- 子どもの未診断高血圧および高血圧前高血圧の頻度を測定する.
- これらの状態の診断不足に関連した患者要因を特定する.
主な方法:
- 14,187人の子供と青少年 (3~18歳) を対象としたコホート研究が行われました.
- 電子医療記録は,高血圧または高血圧前高血圧の診断を文書化するために分析されました.
- 多変数ロジスティック回帰では,正しい診断に関連する要因が特定されました.
主要な成果:
- 子供の3.6%が高血圧でしたが,診断されたのは26%のみでした.
- 高血圧前症児の11% (3.4%のコホート) が適切な診断を受けた.
- 診断の確率を高める要因には,高齢化,肥満,より頻繁な/重度の高血圧値が含まれる.
結論:
- 高血圧と前高血圧は,小児の集団ではしばしば診断されない.
- 患者の年齢,身長,肥満,血圧の読み取りの重度/頻度は,診断に影響を与える重要な要因です.
関連する概念動画
Hypertension III: Clinical Manifestations and Diagnostic Studies
191
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
191
Hypertension I: Introduction
331
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
331
Alterations in Blood Pressure
1.6K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.6K
Errors occurring during blood pressure monitoring
1.1K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.1K
Hypertension and Regulation of Blood Pressure
3.5K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.5K
Blood Pressure
3.5K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
3.5K


