CAVI (心血管指数) 作为运动高血压反应的独立预测因子
C Wuttichaipradit1, C Yodwut1, P Sukhum1
1Bangkok Heart Hospital, Bangkok, Thailand.
BMC cardiovascular disorders
|March 20, 2024
概括
通过心血管指数 (CAVI) 测量的动脉硬性,可以独立预测对运动的高血压反应 (HRE). 超过8的CAVI是一个有价值的工具,用于识别有HRE风险的个体.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 预防性心脏病学 预防性心脏病学
背景情况:
- 对运动的高血压反应 (HRE) 与未来的高血压和心血管事件有关.
- 静止血压不能完全捕捉运动引起的高血压风险.
- 动脉硬是心血管疾病的新兴风险因素.
研究的目的:
- 为了调查心血管指数 (CAVI) 是否可以预测HRE,这是衡量动脉硬性的指标.
- 在临床环境中确定CAVI对HRE的预测值.
主要方法:
- 对285名接受CAVI和跑步机压力测试的患者进行了回顾性图表审查.
- 使用单变量和多重物流回归分析来确定HRE的预测因素.
- 接收器操作特征 (ROC) 曲线分析评估了CAVI对预测HRE的灵敏度和特异性.
主要成果:
- 58名参与者 (20.4%) 呈现HRE.
- CAVI和静止系统血压是HRE的显著独立预测因素.
- ROC分析显示,CAVI的曲线下的面积 (AUC) 为0.827,切点>8显示了53%的灵敏度和92%的特异性.
结论:
- CAVI是对运动高血压反应的独立预测指标.
- CAVI值大于8可能有助于识别有HRE风险的个体.
- CAVI测量可以提高预防性健康计划中的心血管风险评估.
更多相关视频
10:21Evaluation of Hydration Status by Bioelectrical Impedance Vector Analysis in Patients with Ischemic Heart Disease Undergoing Exercise Stress Test
Published on: September 22, 2023
620
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
5.8K
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
01:28Special considerations while measuring blood pressure
722
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.
722
01:23Assessment of blood pressure in brachial artery(two-step method)
705
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
705
01:15Assessment of blood pressure in brachial artery(one-step method)
586
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
586
01:18Hypertension 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
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