访问期间血压变化,中风,冠心病和心血管死亡率之间的关联
Bhrugun Anisetti1, Hossam Youssef1, Ahamed M Elkhair1
1Department of Neurology, Mayo Clinic, Jacksonville, Florida, USA.
Neurologia i neurochirurgia polska
|September 1, 2023
概括
在医生诊所期间静脉血压的变化与中风,冠心病和心血管死亡的风险更高有关. 然而,这些关联被诸如年龄等因素所混.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 长期的系统血压 (SBP) 变化是已知的心血管风险因素.
- 有限的数据存在于参观期间SBP变化和不良心血管结果之间的关联.
研究的目的:
- 为了研究在参观期间SBP变异性与中风,冠心病 (CHD) 和心血管 (CV) 死亡风险之间的关系.
主要方法:
- 分析了来自美国国家健康和营养检查调查 (1999-2012) 的27,987名成年人.
- 每次访问,SBP被测量了多达四次;变化是这些测量的标准偏差.
- 逻辑学和考克斯回归模型评估了与中风,心血管疾病和心血管疾病死亡率的关联.
主要成果:
- 访问期间SBP变异性较高与中风患病率增加有关.
- 增加SBP变异性与较高的中风,心脏病和心血管疾病死亡率相关.
- 在对共变量进行调整后,这些关联并不显著.
结论:
- 参观期间的SBP变化与中风,心血管疾病和心血管疾病死亡率的风险增加有关.
- 观察到的关联因年龄和其他共变量而混.
相关概念视频
Factors affecting Blood pressure
3.3K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.3K
Errors occurring during blood pressure monitoring
764
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
764
Measurement of Blood Pressure
1.0K
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
1.0K
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595
Regulation of Stroke Volume
3.3K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.3K
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
1.0K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
1.0K


