訪問ごとに血圧の変動と心血管のアウトカム: システマティック・レビューと用量反応メタ解析
Mifetika Lukitasari1,2, Jitendra Jonnagaddala1,3,4, Siaw-Teng Liaw1,4
1School of Population Health, UNSW Sydney, NSW 2052 Australia.
European journal of preventive cardiology
|August 28, 2025
まとめ
訪問毎の血圧変動 (VVV BPV) は,電子医療記録 (EHR) を使用して,心血管疾患 (CVD) のリスクを確実に予測します. 高いVVBBVは,心血管疾患のリスクの増加を示し,臨床統合を支持する.
科学分野:
- 心臓病と心血管疾患
- 医療情報と電子医療記録
- バイオ統計学と疫学
背景:
- 訪問ごとに血圧の変動 (VVV BPV) は,心血管疾患 (CVD) のリスク因子として十分に活用されていない.
- BPVの推定とCVDの予測のための電子医療記録 (EHR) データの信頼性は不確実です.
- この研究は,BPVの推定方法とCVDの予測精度を比較する必要性に対処しています.
研究 の 目的:
- EHRデータと非EHRデータを用いたBPV推定方法を比較する.
- VVV BPVとCVDのリスクとの間での用量反応の関連性を調べる.
- BPVの評価のためのEHRデータの臨床的有用性を評価する.
主な方法:
- 2012年1月から2024年8月までの間に発表された研究の体系的なレビューとメタ解析.
- 成人のVVVBPVとCVDアウトカムとの関連を評価した研究を含める.
- CVDリスクに関連したBPV (SDとCV) 値の評価のための用量反応メタ解析 (DRMA).
主要な成果:
- 対象となった4, 926件のうち,49件が含有基準を満たした.
- VVV BPVは,EHR (HR: 1.17) と非EHR (HR: 1.14) データの間の比較可能な効果サイズで,CVDのアウトカムを予測することが判明しました.
- SD ≥6. 72mmHgまたはCV ≥9. 05%のBPVの値はCVDのリスクが10%高かった.
結論:
- EHRデータは,VVBVを信頼性のある見積もりで,EHR以外の情報源と同様にCVDの予測力を示しています.
- 線形ではない投与量反応関係があり,高レベルのVVBVが心血管疾患のリスクを大幅に増加させる.
- VVV BPVは臨床実務に統合されるべきであり,実施戦略に関するさらなる研究が必要である.
関連する概念動画
01:28Factors affecting Blood pressure
4.4K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
4.4K
01:25Errors occurring during blood pressure monitoring
964
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...
964
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
626
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
626
01:17Measurement of Blood Pressure
1.4K
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
1.4K
01:28Special considerations while measuring blood pressure
822
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
822
01:30Alterations in Blood Pressure
1.5K
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...
1.5K