中午浸泡和循环血压模式在急性缺血性中风中
Nikolaos Kakaletsis1, George Ntaios2, Haralampos Milionis3
1First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.
Journal of clinical medicine
|July 29, 2023
概括
急性缺血性中风 (AIS) 的循环血压模式可以预测中风的严重程度和患者的结果. 识别"双"表明中风的严重程度较小,预后更好,而"双"面临的风险明显更高.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 时间生物学 时间生物学
背景情况:
- 循环血压 (BP) 的变化对心血管健康至关重要.
- 了解急性缺血性中风 (AIS) 中这些模式可能会提供预后见解.
研究的目的:
- 在AIS患者中调查中午血压变化和昼夜血压模式.
- 为了将这些模式与中风严重程度和3个月的结果相关联.
主要方法:
- 一项前性多中心研究,涉及228名AIS患者.
- 24小时的门诊血压监测 (ABPM),以评估白天和夜间的血压.
- 中午和夜间浸泡模式的计算.
主要成果:
- 与上升者相比,中午缩性血压 (SBP) 的水者表现出较少的严重中风,较低的入院血压,以及较少的并发症.
- "双重浸泡" (中午和夜间浸泡) 的中风严重程度最低,结果更好.
- "双重起床者"在3个月后死亡或残疾的风险增加了五倍.
结论:
- 在AIS的急性阶段存在着明显的昼夜血压模式.
- 这些模式可以作为中风严重程度和预后的潜在标志物.
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