从办公室转向家庭血压测量模式的转变在移植接受者身上出现了
Ekamol Tantisattamo1,2,3, Antoney J Ferrey1, Uttam G Reddy1
1American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine, Orange.
Current opinion in nephrology and hypertension
|November 8, 2023
概括
家庭血压 (HBP) 监测提供比办公室血压 (OBP) 更准确的读数. 自动远程血压监测 (ARM-BP) 改善了移植接受者 (KTR) 的血压控制.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 高血压管理 高血压管理
背景情况:
- 办公室血压 (OBP) 读数可能会受到"预期效应"的影响.
- 家庭血压 (HBP) 监测旨在提供更准确,无人监督的读数.
- 24小时的门诊血压监测 (24-h ABPM) 被认为是黄金标准,但对于日常使用来说不那么实用.
研究的目的:
- 在移植接受者 (KTR) 中审查HBP和自动远程血压监测 (ARM-BP) 的临床实用性.
- 在KTR中比较不同血压测量方法的准确性和临床相关性.
主要方法:
- 对KTR中HBP,ARM-BP,OBP和24小时ABPM的现有证据的审查.
- 分析血压读数及其与临床结果的关联.
- 评估ARM-BP对血压控制的影响.
主要成果:
- HBP读数比OBP读数更接近24小时的ABPM.
- 尽管不一致,HBP提供了比OBP更好的24小时ABPM的近似值.
- 在30天内,ARM-BP表现出改善的静缩和静缩血压控制.
结论:
- HBP最大限度地降低了"预期效应",并提供更接近黄金标准24小时ABPM的读数.
- ARM-BP显示了对KTR的血压控制的短期益处.
- 建议在KTR中转向HBP进行高血压管理,并将OBP保留在特定情况下.
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