优化血压的目标时间范围评估:来自一项大规模研究的见解,其中包括连续无袖监测
Naomi D L Fisher1, Tiago P Almeida2, David Perruchoud2
1Brigham and Women's Hospital, Boston, MA, United States.
Frontiers in medicine
|July 11, 2024
概括
持续7天的血压监测对于准确的目标时间范围 (TTR) 评估至关重要. 使用传统方法进行较短的监测期导致心血管风险分类的重大不准确性.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 生物医学工程 生物医学工程
背景情况:
- 血压 (BP) 在目标范围内的时间 (TTR) 是一个新兴的心血管风险预测器.
- 传统的BP监测方法提供了低于最佳的TTR评估,因为测量不频繁和不规则.
- 持续监测为准确的TTR评估提供了一个潜在的解决方案.
研究的目的:
- 确定在临床环境中可靠和实用的BP TTR评估的最佳持续时间和频率.
- 用无袖BP技术评估不同监测时间表的准确性.
主要方法:
- 追溯分析了来自5,189名欧洲家庭用户的230万个BP读数,这些用户使用无袖式BP监测器.
- 评估了连续15天的缩血压 (SBP) 数据.
- 与15天的TTR参考分类相比,对各种测量频率和持续时间进行了比较.
主要成果:
- 参考TTR将63%的受试者归类为高风险.
- "一天24小时"和"一周白天"的监测计划分别错误地分类了26%和45%的受试者.
- 在TTR分类中,只有在持续24小时监测7天后才能达到≥90%的准确性.
结论:
- 无袖式高血压装置使得实际的TTR评估成为一种增强的高血压管理指标.
- 准确的TTR评估需要至少7天的持续监测.
- 传统的监测计划不足以通过TTR进行可靠的心血管风险分层.
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