在中风后患有半衰竭的患者中,双臂间血压差异
Hai-Ping Peng1, Liang Tao1, Min Tang1
1Department of Neurology, Ningbo Rehabilitation Hospital, Ningbo, Zhejiang, China.
Journal of human hypertension
|December 27, 2023
概括
在中风后患有半衰减的患者中,显著的双臂间血压差异 (IAD) 是常见的. 在未受影响的手臂上测量血压可以改善高血压的检测.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 双臂间血压差异 (IAD) 是已知的心血管风险指标.
- 脑卒中后患有半衰减的患者可能表现出改变的血液动力学,影响血压读数.
- 精确的血压测量对于管理这种脆弱人群的高血压至关重要.
研究的目的:
- 为了调查中风后患有半衰竭的患者中臂间血压差异 (IAD) 的患病率.
- 为了确定这个队列中精确测量血压 (BP) 的最佳参考臂.
- 评估IAD对高血压检测率的影响.
主要方法:
- 在420名中风后患者中,使用两个自动设备进行了同步双臂血压测量.
- 缩性内血压增加 (sIAD) 被定义为≥10mmHg的差异.
- 患有较高心血压的手臂被指定为参考手臂.
主要成果:
- 在研究小组中,SIAD (≥10 mm Hg) 的患病率为18.1%.
- 在和未受影响的手臂之间没有观察到平均静脉或静脉血压的显著差异.
- 当使用未受影响的手臂作为参考 (41.8%) 时,高血压检测率较高,而不是手臂 (36.3%).
结论:
- 在中风后的患者中,在康复期间患有半衰的患者中,SIAD的患病率显著增加.
- 在中风后患者中使用未受影响的手臂进行血压测量,可以提高高血压的准确检测.
- 标准的血压测量方案可能需要对中风后患者进行调整,以考虑到潜在的IAD.
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