白外套高血压和心血管结果
Raymond R Townsend1, Jordana B Cohen2
1Perelman School of Medicine at the University of Pennsylvania, Renal Electrolyte and Hypertension Division, 122 Founders Building 3400 Spruce Street, Philadelphia, PA, United States. townsend@upenn.edu.
Current hypertension reports
|May 18, 2024
概括
白外套高血压,在医疗环境中血压升高,是常见的,增加心血管风险. 对于这种情况,正在探索管理策略.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
背景情况:
- 临床环境中的血压测量可能与办公室以外的读数有很大差异.
- 了解这些差异对于准确的高血压诊断和管理至关重要.
研究的目的:
- 探索医疗和非医疗环境之间的血压反应的复杂性.
- 审查与白衣高血压相关的预测因素和心血管结果.
- 为管理白衣高血压提供临床指导.
主要方法:
- 对比办公室内和办公室外血压测量的研究的文献综述.
- 对白衣高血压预测因子的现有数据的分析.
- 重新评估白衣高血压和心血管事件之间的联系.
主要成果:
- 白衣高血压很普遍,并与心血管风险的小但显著增加有关.
- 没有药物治疗的患者和接受抗高血压疗法而经历白衣效应的患者之间的结果不同.
- 白袍高血压可以发展为持续高血压.
结论:
- 白袍高血压需要仔细考虑,因为它与心血管风险增加有关.
- 需要进一步的研究来阐明相关代谢因素的作用,并测试缓解策略.
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