大动脉缩修复后的运动诱导高血压:我们的经验和系统性审查
Polona Kačar1,2, Nejc Pavšič1,2, Katja Prokšelj3,4
1Department of Cardiology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Kardiologia polska
|May 20, 2024
概括
运动引起的高血压 (EIH) 是常见的成年人与修复的大动脉缩 (CoA),但患病率差异很大. 需要一个标准化的定义来准确地评估EIH在这个患者群体.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 运动诱导高血压 (EIH) 的患病率和临床意义在修复的大动脉缩 (CoA) 的患者中尚未得到充分确立.
- 经过修复的CoA患者在运动期间可能会出现过度血压升高,但最佳评估仍然不清楚.
研究的目的:
- 研究EIH不同定义对已修复的冠状炎成年患者患病率的影响.
- 在修复的CoA中对EIH进行系统的文献审查.
主要方法:
- 74名经过修复的CoA (1998-2021) 的成年患者的运动测试数据的回顾性分析.
- 应用三个共同的EIH定义来评估患病率.
- 系统的PubMed搜索和审查184个出版物,寻找在CoA中关于EIH的相关研究.
主要成果:
- 队列中的EIH患病率在24%至41%之间,根据定义而有所不同.
- 十一项符合条件的研究报告说,在经过修复的冠状动脉炎患者中,EIH的患病率从13%到82%不等.
- 在EIH患病率的显著变化强调需要一致的诊断标准.
结论:
- 在已修复的冠状动脉炎的成年人中,EIH是常见的发现.
- 在经过修复的CoA中报告的EIH患病率高度依赖于所使用的定义.
- 对EIH的标准化定义对于准确评估和理解其在修复后的CoA中的临床相关性至关重要.
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