在女性中,双臂间血压差异的患病率明显较高;维博格基于人口的查计划 (VISP)
Marie Dahl1,2,3,4, Jesper Winkler Andersen5, Jes Lindholt5,6,7,8,9
1Vascular Research Unit, Department of Surgery, Viborg Regional Hospital, Toldbodgade 12, Viborg, 8800, Denmark. marie.dahl@rm.dk.
BMC public health
|July 12, 2024
概括
双边血压测量对于心血管健康至关重要. 双臂间血压差异 (IAD) 在女性中更常见,并突出了潜在的高血压错误分类.
科学领域:
- 预防心血管疾病预防心血管疾病
- 高血压查 高血压查
- 周围动脉样硬化检测检测
背景情况:
- 双边血压 (BP) 测量对于识别手臂间BP差异 (IAD) 和高血压至关重要.
- 研究了性别分层的IAD患病率及其与外周动脉样硬化和高血压的关联.
- 在使用下与上臂BP读数时确定错误分类率.
研究的目的:
- 为了调查性别分层的手臂间血压差异 (IAD) 的流行情况.
- 检查IAD与查检测到的外周动脉样硬化和高血压之间的关联.
- 根据手臂血压读数量化高血压错误分类.
主要方法:
- 使用了来自Viborg查计划 (VISP) 的数据,涉及4,517名参与者.
- 定义的IAD是缩血压差 ≥10mmHg.
- 使用后勤回归和Venn图来分析IAD关联和与高血压的共存.
主要成果:
- 在女性 (26.8%) 比男性 (21.0%) 中,IAD 的流行率更高,在调整后仍然存在 (OR 1.53).
- IAD与高血压 (血压≥140/90 mmHg) 有显著的关联.
- 大约有15%的人在使用下臂血压读数时被错误地归类为非高血压.
结论:
- 女性性别是IAD患病率的一个独立因素.
- 双边血压测量改善了高血压检测,减少了错误分类.
- 进一步的研究应该评估IAD对心血管事件的预测价值.
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