在接受治疗的高血压患者中,医院访问和24小时血压变化之间的比较
Giuseppe Mancia1, Rita Facchetti2, Fosca Quarti-Trevano2
1University Milano-Bicocca.
Journal of hypertension
|October 18, 2023
概括
办公室血压 (BP) 的变化与高血压患者的24小时BP变化有显著差异. 办公室血压读数是门诊血压稳定性的不良预测指标,强调需要全面的血压监测.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 临床试验 临床试验
背景情况:
- 在接受治疗的高血压患者中,每次访问的血压 (BP) 变化可能会影响预后.
- 有限的数据存在于访问到访问办公室BP变化和24小时BP变化之间的比较.
研究的目的:
- 在高血压患者中,比较访问到访问办公室的血压变化与24小时的血压变化.
- 评估办公室血压变化的预测值,以评估门诊血压稳定性.
主要方法:
- 分析了ELSA和PHYLLIS试验中的1114名高血压患者的数据.
- 通过使用变化系数 (CV) 在3至4年的治疗期内比较诊所访问和24小时平均血压变化.
- 评估白天和夜间的血压变化.
主要成果:
- 二十四小时缩血压变化 (SBP-CV) 大约比办公室的SBP-CV低20% (P < 0.0001).
- 夜间的SBP-CV明显大于白天的SBP-CV (P < 0.0001).
- 办公室BP变化与24小时BP变化有很弱的相关性 (仅占变异的1-4%).
结论:
- 24小时BP在访问中比办公室BP更稳定.
- 办公室血压变化是24小时血压变化和门诊血压稳定的不良预测指标.
- 研究结果强调了仅依靠办公室血压测量来评估高血压中的血压控制的局限性.
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