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双臂间血压差异是一种冠状动脉疾病的指标
Hanna K Al-Makhamreh1, Abdulhak A Sadalla2, Hussein Alhawari3
1Cardiology Section, Department of Internal Medicine, Faculty of Medicine, University of Jordan, Amman, Jordan.
高的双臂间血压差异 (IABPD) 与严重的冠状动脉疾病 (CAD) 有关. 异常的IABPD可能表明在怀疑心血管疾病的患者中需要进一步调查.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 公共卫生 公共卫生
背景情况:
- 关于双臂间血压差异 (IABPD) 与冠状动脉疾病 (CAD) 之间的联系的研究有限.
- 调查IABPD患病率及其与CAD的关联对于心血管风险评估至关重要.
研究的目的:
- 为了确定约旦人口中IABPD的流行率.
- 评估IABPD与严重CAD的存在之间的关联.
主要方法:
- 这项研究涉及约旦大学医院心脏病诊所的520名患者.
- 患者被分为严重的CAD和对照组.
- 血压被测量以计算心压和心压缩性IABPD.
主要成果:
- 289名患者 (55.6%) 患有CAD;231名 (44.4%) 是对照组.
- 42.5%的患者患有静脉内血压 > 10 mmHg;26.9%的患者患有静脉内血压 > 10 mmHg.
- 患有CAD的患者年龄较大,更可能是男性,高血压,并患有脂质失调症,IABPD显著更高 (缩时p<0.001).
结论:
- 较高的系统性IABPD与较高的严重CAD患病率相关.
- 不正常的IABPD需要进一步调查,因为它对各种血管病变的预测价值.
- IABPD可以作为一个有价值的,在心血管风险分层中的非侵入性标记.
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相关概念视频
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.
Sites for measruring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Measurement of Blood Pressure
Pre-Procedural Guidelines for Assessing Blood Pressure
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Blood Pressure