在急性缺血性中风呈现时血压的种族差异:一项人口研究
Yasmin N Aziz1, Heidi Sucharew2, Robert J Stanton1
1Department of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.
Journal of the American Heart Association
|May 3, 2024
概括
与白人患者相比,患有急性缺血性中风的黑人患者出现高血压 (BP). 这些发现凸显了中风护理和结果中的潜在种族差异.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 高血压是中风的重要危险因素.
- 在黑人和白人人口之间的高血压患病率和管理方面存在着已知的差异.
- 调查在急性缺血性中风期间呈现血压的种族差异至关重要.
研究的目的:
- 确定急性缺血性中风患者在呈现血压 (BP) 中是否存在种族差异.
- 为了确定黑人和白人患者在急诊室到达时血压水平的潜在差异.
主要方法:
- 对患有急性缺血性中风的成年患者的分析,该中风发生在最近已知的正常状态的24小时内.
- 包括来自大辛辛那提/北肯塔基中风研究的2005年,2010年和2015年的研究时代的数据.
- 多变量线性回归用于比较黑人和白人患者之间的血压,并根据主要的人口和临床因素进行调整.
主要成果:
- 在调整后,与白人患者 (n=3195) 相比,黑人患者 (n=853) 的静脉血压 (161比158毫米升),静脉血压 (86比83毫米升) 和平均动脉压 (111比108毫米升) 较高.
- 在4.5小时内呈现的患者中,黑人患者也显示出更高的调整后腹压血压 (88比83毫米升) 和平均动脉压 (112比108毫米升).
结论:
- 这项以人口为基础的研究表明,在患有急性缺血性中风的黑人和白人患者之间,呈现血压的显著差异.
- 需要进一步的研究,以了解这些BP差异对临床决策,患者结果和临床试验资格的影响.
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