乙期心力衰竭在无症状高血压的急诊患者中无处不在
Kimberly Souffront1,2,3, Bret P Nelson1, Megan Lukas1
1Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York.
The western journal of emergency medicine
|April 10, 2024
概括
所有无症状高血压的急诊患者都表现出亚临床心脏病的迹象. 这凸显了早期检测和量身定制护理的必要性,特别是在心力衰竭风险较高的黑人,西班牙裔和女性中.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 高血压是全球主要的死亡和疾病原因.
- 无症状高血压在急诊室 (ED) 很常见.
- 亚临床心脏病往往是在明显心力衰竭之前发生的.
研究的目的:
- 为了确定患有无症状高血压的急诊患者中亚临床心脏病的患病率.
- 为了确定与这一群体中亚临床心脏病相关的人口因素.
主要方法:
- 在两个城市学术ED的前性观察研究.
- 包括患有血压升高的成年患者 (起初血压≥160/100 mmHg,随后≥140/90 mmHg) 和待出院的患者.
- 排除了患有特定并发症 (如心力衰竭,功能不全) 或禁忌的患者.
- 使用心声学评估的亚临床心脏病 (左心室缩,透静/收缩功能障碍).
主要成果:
- 所有53名参与者 (平均年龄为49.5岁,大多数是黑人/其他人和女性) 都有临床下心脏病的证据.
- 患病率:77.4%的左心室缩,58.5%的腹功能障碍.
- 腹筋功能障碍与女性性别,黑人/其他种族和西班牙裔/其他种族有显著的关联.
- 系统性功能障碍 (不太常见) 与糖尿病有关.
结论:
- 在ED患者中,无症状高血压与亚临床心脏病密切相关.
- 黑人,西班牙裔和女性患者患心力衰竭的风险更高.
- 紧急诊所医生应提供个性化的护理,考虑到社会决定因素和独特的健康需求.
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