在两个MMT"双胞胎"诊所之间,有不同的特征但相似的高血压率
Miriam Adelson1,2, Dinita Smith1, Anat Sason2
1Dr. Miriam & Sheldon G. Adelson Clinic for Drug Abuse, Treatment & Research Las Vegas, Nevada, USA.
Journal of addictive diseases
|May 21, 2024
概括
在特拉维夫和拉斯维加斯的甲维持治疗患者中,高血压的患病率相似,尽管人口统计和药物使用差异不同. 在这两个地方,更高的BMI是关键风险因素.
科学领域:
- 心脏病学 心脏病学
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 接受甲维持治疗 (MMT) 的患者容易患上与年龄相关的疾病.
- 高血压是这个人群中常见的并发症.
- 在不同的MMT诊所比较高血压可以揭示独特的风险因素.
研究的目的:
- 为了比较高血压的患病率及其相关的风险因素.
- 调查两个MMT诊所之间的差异,指导方针相似,但患者人群不同 (特拉维夫与拉斯维加斯).
主要方法:
- 在特拉维夫的291名MMT患者和拉斯维加斯的180名MMT患者的横截面研究.
- 收集的数据包括血压,体重指数 (BMI),尿液药物查,社会人口统计和成史.
- 使用后勤回归分析来确定高血压风险因素.
主要成果:
- 高血压的患病率是可比的 (特拉维夫的35.4%,拉斯维加斯的34.4%).
- 特拉维夫患者年龄较大,肥胖程度较低,药物使用模式不同 (更多的可卡因,更少的大麻/安非他命).
- 较高的BMI是一个普遍的风险因素;具体因素因诊所而异 (例如,特拉维夫对某些药物的阴性尿液查,拉斯维加斯的老年/男性性别).
结论:
- 尽管人口和药物使用的差异很大,但两家诊所的高血压率相似.
- 拉斯维加斯的肥胖症更为普遍,而特拉维夫的老年患者更为普遍.
- 较高的BMI,特别是特拉维夫没有非法药物使用,与高血压有关,这强调了MMT患者需要体重管理和高血压控制的必要性.
相关概念视频
Assessment of blood pressure in brachial artery(two-step method)
693
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...
693
Special considerations while measuring blood pressure
719
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.
719
Errors occurring during blood pressure monitoring
705
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
705
Pre-Procedural Guidelines for Assessing Blood Pressure
559
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
559
Assessment of blood pressure in brachial artery(one-step method)
584
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:
584
Measurement of Blood Pressure
915
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
915


