运动后血压与心血管结果和死亡率的关联:CARDIA研究
Jia-Jie Wang1,2, Zhichao Zheng2, Ying Zhang1,2
1The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Journal of clinical hypertension (Greenwich, Conn.)
|March 19, 2024
概括
运动后的透气血压 (BP) 与重大心血管不良事件和死亡的风险更高有关. 这一发现在血压正常的个体中尤为明显,表明其预后价值.
科学领域:
- 心血管疾病流行病学
- 运动生理学 运动生理学
- 临床风险评估临床风险评估
背景情况:
- 办公室血压 (BP) 可能无法完全捕捉心血管风险.
- 运动后血压被认为是一种可能更敏感的预后标志物.
- 关于运动后BP对长期结果的预测价值的数据有限.
研究的目的:
- 调查运动后血压和主要不良心血管事件 (MACE) 之间的关联.
- 评估运动后血压与全因死亡率的关系.
- 为了确定运动后血压是否预测正常基线血压的个体的心血管风险.
主要方法:
- 从年轻成年人冠状动脉风险发展研究 (20年) 中对2581名参与者的分析.
- 包括接受了分级运动跑步机测试和基线运动后血压测量的参与者.
- 利用考克斯的比例危险模型来评估与MACE的关联性和所有原因的死亡率,平均随访时间为16年.
主要成果:
- 运动后的腹筋血压,但不是缩血压,与整体队列中MACE和全因死亡率的增加显著相关.
- 在基线血压正常的参与者中,运动后扩张性血压升高与MACE有很强的关联.
- 危险比率表明MACE风险增加27%,所有原因死亡风险增加26%,每增加10mmHg的运动后心压.
结论:
- 运动后的透气血压是主要心血管不良事件和全因死亡率的重要独立预测因素.
- 运动后的透静血压可以识别具有正常基线血压的个体,这些人患心血管事件的风险更高.
- 这些发现支持了运动后血压评估在心血管风险分层中的有用性.
更多相关视频
05:26Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
9.3K
07:40Impact of High-intensity Interval Exercise and Moderate-Intensity Continuous Exercise on the Cardiac Troponin T Level at an Early Stage of Training
Published on: October 10, 2019
7.3K
相关概念视频
01:20Exercise and Cardiovascular Response
804
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
804
01:17Exercise and Cardiac Output
1.0K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.0K
01:17Measurement of Blood Pressure
924
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...
924
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
145
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
145
01:19Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
81
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
81
01:26Exercise Stress Test
203
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
203