"未分类"血压表型对左心室缩的影响
Belde Kasap Demir1, Cemaliye Başaran2, Tülay Demircan3
1Division of Pediatric Nephrology and Rheumatology, Department of Pediatrics, İzmir Katip Çelebi University Faculty of Medicine, İzmir, Turkey.
Turkish archives of pediatrics
|March 7, 2024
概括
儿童未分类的血压表型并不能显著预测左心室缩. 这种分类方法使许多患者未被分类,限制了其临床实用性.
科学领域:
- 儿科脏病学 儿科脏病学
- 心脏病学 心脏病学
- 高血压研究 高血压研究
背景情况:
- 儿童的血压表型对于评估心血管健康至关重要.
- 左心室缩 (LVH) 是心脏损伤的重要指标.
- 当前的分类可能无法完全捕捉所有儿科高血压的特征.
研究的目的:
- 为了评估临床意义的临床意义.
- 不分类的未经分类的信息.
- 在儿童左心室缩 (LVH) 上的血压表型.
- 确定这些未经分类的集团是否会影响LVH.
- 评估血压负载对LVH的可预测性.
主要方法:
- 利用来自497名儿童的门诊血压监测数据.
- 定义了各种血压组,包括正常血压,高血压前期,白袍高血压,口罩高血压,门诊高血压,以及基于办公室和门诊读数的两个"未分类"组.
- 在这些组中比较左心室质量指数/95百分位和LVH比率.
主要成果:
- 与正常血压儿童相比,面具高血压显示出明显更高的LVH.
- 在正常血压和"未分类组1" (正常门诊,正常办公室BP) 之间没有发现LVH的显著差异.
- 门诊高血压组的LVH高于白袍高血压,白袍高血压和"未分类组2" (正常门诊,高办公室BP) 之间的LVH相似.
结论:
- 血压负荷解释对儿童的LVH具有有限的预测价值.
- 相当数量的儿科患者属于"未分类"的血压类别.
- 仅仅依靠血压负载可能导致低估心血管风险.
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