血压状况,轨迹和心血管疾病:CollausSysPsyCoLaus前性研究
Yaniv Chocron1, Markos Rousakis2, Peter Vollenweider3
1Internal Medicine, CHUV, Lausanne, Switzerland yaniv.chocron@chuv.ch.
Open heart
|February 22, 2024
概括
在一项为期14年的研究中,适当的血压控制并没有减少心血管疾病事件或死亡率. 需要进一步的研究,以了解影响治疗高血压患者结果的因素.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高血压 (BP) 是心血管疾病 (CVD) 的重要危险因素.
- 适当的血压治疗对降低一般人群心血管疾病风险的影响仍然被低估.
研究的目的:
- 评估血压控制与心血管疾病 (CVD) 事件和死亡率之间的关联.
- 为了评估正常血压,未经治疗的高血压和治疗 (受控和不受控制) 的高血压患者的结果.
主要方法:
- 在瑞士洛桑 (2003-2021) 开展的一项基于人口的前性研究.
- 将5341名参与者分为正常血压,未经治疗的高血压,接受治疗和不受控制的血压以及接受治疗和控制的血压组.
- 总和心血管疾病死亡率和心血管疾病事件的评估,平均14年的随访时间.
主要成果:
- 与正常血压相比,未接受治疗,接受治疗和未控制,接受治疗和控制的高血压的参与者对总心血管疾病事件的风险增加.
- 与正常血压相比,在接受治疗和不受控制的高血压组和接受治疗和受控制的高血压组中观察到较高的心血管疾病死亡风险比率.
- 与正常血压相比,所有高血压类别的总死亡风险都较高.
结论:
- 长期控制血压与心血管疾病事件或死亡率的减少无关.
- 这些发现表明需要进行进一步的研究,以确定影响心血管疾病和治疗高血压患者死亡率的因素.
- 这项研究突出了理解高血压管理的潜在差距,以获得最佳的心血管结果.
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