过早分娩对晚年血压的影响:系统性审查和元分析
Abdulla K Alsubai1, Mushtaq Ahmad2, Rabia Chang3
1Royal College of Surgeons in Ireland, Dublin 2, Ireland.
Journal of family medicine and primary care
|January 8, 2024
概括
过早出生的个体在成年后有更高的静缩和静缩血压. 这一元分析证实了早产和成人高血压风险之间存在显著的关联.
科学领域:
- 心血管健康 心血管健康
- 围产儿医学 围产儿医学
- 公共卫生 公共卫生
背景情况:
- 过早分娩是一个重要的全球健康问题,与许多短期和长期并发症有关.
- 成年期高血压对心血管疾病和死亡率构成重大风险.
- 了解早产的长期健康后果对于预防策略至关重要.
研究的目的:
- 系统地评估早产和成年期患高血压的风险之间的关联.
- 测量早产和满期出生的个体之间的血压水平差异.
主要方法:
- 使用随机对照试验 (RCT) 数据进行了全面的元分析.
- 在PubMed,EMBASE和Cochrane中央注册表中进行了搜索,截至2022年4月11日.
- 抽取了静脉压和静脉压血压数据,汇总并分析,以比较早产和满期分娩组.
主要成果:
- 包括28项研究,其中包括血压的比较,在早产者与满期的个人.
- 在所有测量类别 (平均,门诊,白天,夜晚) 中,在早产组中观察到显著更高的缩血压 (SBP).
- 同样,在早产的个体中,腹压血压 (DBP) 与满期出生的个体相比显著升高.
结论:
- 这些发现表明,在经历过早产的成年人中,缩和腹缩血压的持续升高.
- 这表明早产可能是晚年发展高血压的重要危险因素.
- 进一步的研究和临床监测对于早产的个人来说是有必要的,以减轻潜在的心血管风险.
更多相关视频
07:36Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
11.4K
05:31Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
Published on: January 26, 2024
842
相关概念视频
Factors affecting Blood pressure
3.2K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.2K
Pre-Procedural Guidelines for Assessing Blood Pressure
567
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...
567
Measurement of Blood Pressure
936
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
936
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Special considerations while measuring blood pressure
724
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.
724
Blood Pressure
1.1K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
1.1K
