白外套高血压有多常见?
T G Pickering1, G D James, C Boddie
1Cardiovascular Center, New York Hospital-Cornell University Medical Center, New York, NY 10021.
JAMA
|January 8, 1988
概括
21%的边缘高血压患者表现出"白袍"高血压,在诊所外显示正常的血压. 这种现象在年轻女性中更常见,可能导致高血压错误分类.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 临床医学 临床医学
背景情况:
- 边界性高血压影响了大量患者群体.
- 精确的血压监测对于诊断和治疗至关重要.
- "白衣"现象是血压读数的一个已知,但不完全理解的因素.
研究的目的:
- 在未经治疗的边缘性高血压患者中识别和表征"白衣"高血压患者.
- 为了确定这个群体中"白袍"高血压的患病率.
- 探索与"白衣"高血压相关的人口和临床因素.
主要方法:
- 门诊血压监测 (ABPM) 用于比较临床读数与白天压力.
- 研究了一组292名未经治疗的边缘高血压患者 (90-104毫米平直径) 的队列.
- 收集和分析人口统计和临床数据,以确定患者的特征.
主要成果:
- 边缘高血压患者中有21%的患者白天的门诊压力正常.
- "白衣"高血压在女性,年轻患者,体重较低的患者和最近诊断的患者中更为普遍.
- 这些患者没有表现出增加的血压可变性或在工作中过度反应,这表明对临床环境的特定反应.
结论:
- "白衣"高血压是边缘高血压患者的重要因素,可能导致错误分类.
- "白衣"高血压的压力反应似乎是特定于医生的办公室环境.
- 需要进一步的研究,以了解"白袍"高血压的影响和管理.
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