住院期间脉压波动与缺血性中风后3个月内不良结果的关联
Yu Wang1, Jintao Zhang2, Zhengbao Zhu1,3
1Department of Epidemiology, School of Public Health and Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Suzhou Medical College of Soochow University, Suzhou, China.
American journal of hypertension
|September 28, 2023
概括
在住院期间高脉压波动增加了因缺血性中风后3个月内死亡或血管事件的风险. 管理脉冲压变化可能会改善患者的预后.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 血管医学 血管医学
背景情况:
- 脉压 (PP) 受心脏功能和动脉弹性的影响,这些因素与缺血性中风发生率有关.
- 医院内脉压波动与缺血性中风后不良结果之间的关系尚不清楚.
研究的目的:
- 研究住院期间脉压波动与缺血性中风患者的不良结果之间的关联.
- 为了确定控制脉压力变化是否可以改善缺血性中风后的预后.
主要方法:
- 一项涉及3971名被诊断患有缺血性中风的患者的研究.
- 脉冲压力波动用脉冲压力的连续变化 (PP-SV) 来量化.
- 主要结局是中风后3个月内发生的死亡或血管事件的组合.
主要成果:
- 在PP-SV的最高四分位数中的患者表现出主要结果的最高累积发病率.
- 较高的PP-SV与3个月内死亡或血管事件 (HR 1.86) 和血管事件 (HR 2.15) 的风险显著增加有关.
- 在住院期间的PP-SV和不良结果之间观察到线性关联.
结论:
- 在住院期间显著的脉压波动与缺血性中风后3个月内不良结果的风险更高有关.
- 这些发现为缺血性中风急性阶段的血压管理策略提供了新的见解.
- 控制脉压力波动可能是改善中风后预后的一个关键因素.
相关概念视频
Measurement of Blood Pressure
1000
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...
1000
Pulse
573
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical...
The pulse serves as a clinical...
573
Blood Pressure
3.2K
The movement of blood in a human body, commonly referred to as blood flow, is determined by the volume of blood that traverses a certain section of the bodily system per unit time. It is the rhythmic contraction of the heart's ventricles that primarily instigates this movement. As the ventricles contract, blood is forced into the prominent arteries, which then flow from areas of greater pressure to lower pressure areas. This movement continues into smaller arteries and arterioles and...
3.2K
Errors occurring during blood pressure monitoring
755
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...
755
Pre-Procedural Guidelines for Assessing Blood Pressure
586
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...
586
Special considerations while measuring blood pressure
743
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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.
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.
743


