家庭血压负荷在预测平均自测血压的有用性
Alan L Hinderliter1, Feng-Chang Lin2,3, Yumei Yang2
1Department of Medicine.
Journal of hypertension
|June 11, 2024
概括
家庭血压 (BP) 负载有效估计平均自测BP,并确认升高的读数. 这种方法提供了一种使用家庭BP监测数据评估心血管疾病风险的实用方法.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 预防医学 预防医学
背景情况:
- 自测血压 (SMBP) 在评估心血管风险方面比办公室测量更准确.
- 在诊所访问期间计算平均SMBP通常是不切实际的.
- 家庭BP负载,高读数的比例,很容易计算出来.
研究的目的:
- 评估家庭BP负载在预测平均SMBP中的实用性.
- 评估家庭BP负载在确认SMBP升高的有效性.
主要方法:
- 在30岁以上的420名未经治疗的成年人中,每天两次进行SMBP,持续10天.
- 真正的SMBP被定义为40个家庭测量的平均值.
- 家庭BP负载是使用130mmHg的缩BP值计算的.
主要成果:
- 家庭BP负载为0.50,相当于平均SMBP为130 mmHg (95%CI:126-133 mmHg).
- 系统性SMBP变化约为6mmHg,BP负载为0.25和0.75.
- 家庭血压负荷至少为0.60,表明真正的缩性SMBP>130mmHg的90%概率.
结论:
- 家庭BP负载作为平均SMBP的可靠估计器.
- 家庭BP负载可以有效地证实SMBP升高,有助于心血管风险分层.
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