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即使在高血压卓越中心,老年男性也被选为原发性阿尔多斯特隆症
Avital Angel Korman1,2, Vladimir Rapoport2, Hadassa Rimonie Seged German1
1Joyce and Irving Goldman School of Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheba, Israel.
Blood pressure
|July 22, 2024
概括
原发性阿尔多斯特隆症 (PA) 查合格性较低,只有21%的符合条件的高血压患者接受了查. 老年患者和男性不太可能接受查,这表明错过了诊断,并主张进行更广泛的查,特别是在慢性病的老年患者中.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 高血压管理 高血压管理
背景情况:
- 尽管内分泌学会 (ES) 对查高风险高血压患者的明确指导方针,但初级阿尔多斯特隆症 (PA) 的诊断不足.
- 低程度遵守PA查指南导致诊断延迟,心血管并发症和慢性病负担.
研究的目的:
- 在专门的高血压卓越中心评估初级阿尔多斯特隆症的查率.
- 确定与符合条件的高血压患者中低查合规性相关的因素.
主要方法:
- 从2018年1月到2020年12月,对成人高血压患者的回顾性分析.
- 纳入标准:成人高血压患者满足至少一个ES指南查PA的标准.
- 使用单变体和多变体回归分析对查和未查患者的比较.
主要成果:
- 在661名高血压患者中,218名 (33%) 符合PA查的ES标准.
- 只有46名患者 (21.1%) 被转诊进行PA查.
- 高龄 (每年OR0.945) 和男性性别与显著较低的查转诊率有关;在晚期脏病中发现了转诊率下降的趋势.
结论:
- 低查率 (21.1%) 暗示了初级阿尔多斯特隆症的频繁低诊断,特别是在年长的高血压患者中.
- 迫切需要提高PA查意识和遵从性,特别是在慢性病的老年患者中.
- 建议在高血压患者中进行全方位PA查,以减轻相关的心血管和脏并发症.
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