在杰克逊心脏研究中,非洲裔美国人的通行血压门
Joseph Ravenell1, Daichi Shimbo2, John N Booth2
1From Department of Population Health, New York University School of Medicine (J.R., T.M.S., A.J.S., G.O.); Department of Medicine, Columbia University, New York (D.S., M.A.); Department of Epidemiology, University of Alabama at Birmingham (J.N.B., P.M.); Center for Minority Health & Health Disparities Research and Education, Xavier University of Louisiana, New Orleans (D.F.S.); Department of Public Health, Amsterdam Medical Centre, University of Amsterdam, The Netherlands (C.A.); Department of Psychology, University of Maryland, Baltimore County (D.L.B.M.); and Division of Health System Innovation and Research, Department of Population Health Sciences, University of Utah School of Medicine, Salt Lake City (A.P.B.). joseph.ravenell@nyumc.org.
这项研究使用美国人口样本确定了非裔美国人的新出院高血压门. 这些发现为诊断和管理高血压提供了关键指导.
科学领域:
- 心脏病学
- 公共卫生
- 流行病学
背景情况:
- 门诊血压 (BP) 监测是诊所外血压评估的黄金标准.
- 现有的高血压值是基于非美国人群,因此需要种族/种族特异性数据.
- 非洲裔美国人患高血压和心血管疾病的比例很高.
研究的目的:
- 在美国成年非洲裔美国人的样本中确定 ambulatory高血压的具体血压值.
- 通过回归和基于结果的方法来比较值.
- 为此群体提供高血压管理的临床指南.
主要方法:
- 分析了来自杰克逊心脏研究的数据,该研究对非裔美国成年人 (n=1016) 进行了门诊血压监测.
- 计算白天,24小时和夜间平均静脉血压 (SBP) 和腹血压 (DBP).
- 使用回归和心血管/死亡结果衍生的方法确定高血压值,按药物使用分层.
主要成果:
- 对日间,24小时和夜间SBP/ DBP的回归衍生的临床血压为134/85,130/81和123/ 73mm Hg.
- 对白天,24小时和夜间SBP的临床SBP≥140 mm Hg的结果值分别为138,134和129 mm Hg.
- 在服用抗高血压药物的参与者中,值略有变化,结果衍生的SBP值较高.
结论:
- 非洲裔美国成年人 ambulatory高血压的建议定义 (基于结果衍生的SBP和回归衍生的DBP) 相当于临床≥140/ 90 mm Hg:
- 日间:SBP/DBP≥140/85 mm Hg
- 24小时:SBP/DBP≥135/80毫米
- 在夜间:SBP/DBP ≥130/75 mm Hg
相关概念视频
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
Assessing Blood pressure in the Leg
Preparation:
Measurement of Blood Pressure
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.


