在高血压紧急情况或紧急情况后的一年结果
Christos Fragoulis1, Dimitrios Polyzos1, Andreas Mavroudis1
1First Department of Cardiology, National and Kapodistrian University of Athens, Hippokration Hospital, 114 Vassilissis Sofias Avenue, 11527 Athens, Greece.
European journal of internal medicine
|October 23, 2023
概括
患有高血压紧急情况 (HU) 的患者比患有高血压紧急情况 (HE) 的患者有更好的心血管结果. 高血压紧急情况的预后与没有高血压紧急情况或紧急情况 (HP) 的患者没有显著差异.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
背景情况:
- 对于高血压紧急情况 (HE),高血压紧急情况 (HU) 和正常血压患者 (HP) 的心血管结果,存在有限的比较数据.
- 了解这些差异对于风险分层和风险管理至关重要.
研究的目的:
- 为了比较HE,HU和HP患者的12个月心血管结果.
- 评估心血管疾病发病率和死亡率的预后差异.
主要方法:
- 一项队列研究涉及353名患有HE或HU的患者,其中HU患者与HP对照匹配.
- 预期记录1年内主要结果 (复发性高血压事件,非致命的CV事件) 和次要结果 (死亡率,住院治疗) 的预期记录.
- 根据主要风险因素调整的考克斯回归模型.
主要成果:
- 与高血压紧急情况 (HU) 相比,高血压紧急情况 (HE) 与显著更高的心血管发病率 (HR 3.43) 和死亡率 (HR 13.2) 相关.
- 高血压紧急情况 (HU) 与没有高血压紧急情况或紧急情况 (HP) 的患者的心血管事件发生率相似.
- 在HE和HU组之间观察到心血管发病率和死亡率的显著差异 (p < 0.017).
结论:
- 高血压紧急情况 (HU) 的预后比高血压紧急情况 (HE) 更好.
- 高血压紧急情况 (HU) 的心血管预后与没有高血压紧急情况或紧急情况 (HP) 的患者的预后相似.
- 这些发现强调了需要加强高血压紧急情况和紧急情况的管理策略.
相关概念视频
01:28Hypertension I: Introduction
14
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
14
01:23Hypertension V: Nursing Management
10
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
10
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
15
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
15
01:29Acute Kidney Injury III: Clinical Manifestations
13
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
13
01:28Special considerations while measuring blood pressure
729
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.
729
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
12
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
12