临床血压低估了美国未经治疗的雇主血压:掩盖高血压研究的结果
Joseph E Schwartz1, Matthew M Burg2, Daichi Shimbo2
1From Center for Behavioral Cardiovascular Health (J.E.S., D.S., S.G., T.G.P.) and Department of Psychiatry (R.S.), Columbia University Medical Center, New York, NY; Department of Psychiatry and Behavioral Sciences, Stony Brook University, Stony Brook, NY (J.E.S., T.Y., S.G.); Department of Internal Medicine, Yale University School of Medicine, New Haven, CT (M.M.B.); USC Dornsife Center for Self-Report Science, University of Southern California, Los Angeles, CA (J.E.B., A.A.S.); and Department of Cardiology, Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Tokyo, Japan (J.I.). joseph.schwartz@stonybrookmedicine.edu.
临床血压 (CBP) 常常高于出院血压 (ABP),这与人们普遍认为的不同.
科学领域:
- 心脏病学
- 高血压研究
- 预防医学
背景情况:
- 门诊血压 (ABP) 与临床血压 (CBP) 相比,是一个更好的心血管风险预测指标.
- 一个常见的误解是ABP通常低于CBP.
- 美国人口中CBP-ABP差异与年龄之间的关系尚未研究.
研究的目的:
- 在健康的美国成年人中研究临床血压 (CBP) 和门诊血压 (ABP) 之间的关系.
- 检查CBP-ABP梯度的年龄相关差异.
- 在正常CBP患者中确定ABP定义的掩盖高血压的患病率.
主要方法:
- 888名健康成年人接受了3次临床血压评估和24小时的血压监测.
- 在人口统计数据中比较CBP,清醒ABP和CBP-aABP的差异.
- 针对年龄和BMI进行的局部加权散射图平滑模型.
- 评估了白外套和掩盖高血压的发生率.
主要成果:
- 平均清醒时血压 (123. 0/77. 4 mmHg) 高于平均CBP (116. 0/75. 4 mmHg).
- 血压高于血压高10mmHg的频率比反过来更高,特别是在体重指数正常的年轻人中.
- 在15. 7%的非升高CBP的患者中发现了掩盖性高血压.
结论:
- 与普遍认为的相反,ABP在健康个体中并不总是低于CBP.
- 很大一部分正常CBP的健康个体表现出掩盖的高血压.
- 了解CBP-aABP梯度可以指导医生使用24小时的ABP来诊断隐形高血压.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
Errors occurring during blood pressure monitoring
Several factors...
Special considerations while measuring blood pressure
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.
Hypertension I: Introduction
Measurement of Blood Pressure
Hypertension and Regulation of Blood Pressure


