使用"全合一"设备测量办公室,家庭和门诊血压的指导值之间的协议
Kazuomi Kario1, Naoko Tomitani1, Satoshi Hoshide1
1Division of Cardiovascular Medicine, Department of Medicine Jichi Medical University School of Medicine Tochigi Japan.
Journal of the American Heart Association
|December 1, 2023
概括
这项研究确定了办公室,家庭和门诊测量的等价血压 (BP) 值. 家庭血压监测与白天的门诊血压密切结合,为高血压管理提供了可靠的替代方案.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 临床测量科学 临床测量科学
背景情况:
- 对于高血压诊断和管理的血压 (BP) 值在测量类型 (办公室,家庭,门诊) 和指导方针上有所不同.
- 血压值的变化使得持续的高血压护理变得复杂.
- 这项HI-JAMP研究的目的是使用经过验证的设备来澄清这些差异.
研究的目的:
- 为了确定相应的办公室,家庭和门诊血压值.
- 为了比较来自不同测量方法的BP值.
- 为协调高血压管理指南提供证据.
主要方法:
- 在HI-JAMP前性研究中分析了2322名接受治疗的高血压患者的基线数据.
- 使用了经过验证的验证方法.
- 所有在一个-all-in-one.
- 用于办公室,24小时门诊和5天家庭血压监测的血压监测设备.
- 采用德明回归来确定测量类型之间的同等BP值.
主要成果:
- 计算了办公室,24小时门诊,白天门诊,夜间门诊和早晚平均家庭血压等同的门值.
- 晨晚平均家庭系统血压 (SBP) 和白天的门诊SBP显示出强烈的相关性 (r=0.627),家庭SBP与白天的门诊SBP密切相关.
- 在其他测量类型中,为办公室SBP的120和140mmHg提供了特定的等价值.
结论:
- 在此分析中得出的门诊和家庭血压值与现有的高血压指南保持一致.
- 家庭血压和白天门诊血压值之间的强烈相似性是一个临床上重要的发现.
- 这些发现支持使用家庭血压监测作为高血压管理的可靠指标.
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