血压变化,夜间心率变化和内皮功能预测在缺血性中风后的复发性脑心血管事件
Irina Filchenko1,2, Nicolas Mürner1, Martijn P J Dekkers1
1Sleep-Wake-Epilepsy Center, Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Frontiers in cardiovascular medicine
|November 30, 2023
概括
在中风后,高血压变化和夜间心率变化预测未来的心血管事件. 内皮功能也会导致中风患者的这种风险.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 临床研究 临床研究
背景情况:
- 像血压 (BP) 和心率 (HR) 这样的心血管参数预测大脑心血管事件 (CCVE) 在一般人群中.
- 关于急性中风患者这些预测因子的数据有限.
- 复发性CCVE在中风后具有显著的风险.
研究的目的:
- 评估心血管参数作为急性缺血性中风患者中复发性CCVE的预测指标.
- 为了研究血压变化 (BPV),心率变化 (HRV),内皮功能和动脉硬的预后值.
- 在中风后的第一周内分析这些参数.
主要方法:
- 对前性观察性睡眠缺陷和中风结果研究 (NCT02559739) 的二次分析.
- 从447名被招募的急性缺血性中风患者中,包括359名患者.
- 在中风后的第一周内评估了48个心血管参数.
- 对CCVE记录进行3年后续调查.
- 多变量考克斯回归分析用于预后价值.
主要成果:
- 20%的患者经历了未来的CCVE.
- 高缩血压变化和夜间心率变化预测了CCVE风险.
- 在调整年龄和性别后,内皮功能障碍预测了CCVE风险,但不是心血管风险因素.
- 白天HR和动脉硬与CCVE风险没有关联.
结论:
- 血压变化升高和夜间心率变化是急性中风后未来CCVE的重要预测因素.
- 内皮功能也有助于中风后复发性脑心血管事件的风险.
- 这些发现突出了中风幸存者风险分层的关键心血管标志物.
相关概念视频
Pre-Procedural Guidelines for Assessing Blood Pressure
569
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...
569
Errors occurring during blood pressure monitoring
735
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...
735


