[双臂间血压差异:在治疗和控制的高血压患者中连续测量与同时测量]
A Delucchi1, D Fernández1, M Sorini1
1Sección Hipertensión Arterial, Sanatorio Municipal «Dr. Julio Méndez», Ciudad Autónoma de Buenos Aires, Argentina.
Hipertension y riesgo vascular
|July 23, 2024
概括
同时的血压测量提供了比连续测量更准确的系统血压 (SBP) 的臂间差异 (IAD). 在接受治疗的高血压患者中,对于这两种方法来说,访问之间主导臂发现的可重复性都很差.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 临床测量 临床测量
背景情况:
- 系统血压 (SBP) 的双臂间差异 (IAD) 是心血管风险的公认指标.
- 精确测量SBP IAD对于风险分层和患者管理至关重要.
研究的目的:
- 为了比较同时与连续的BP测量,以评估SBP IAD.
- 评估SBP IAD测量在治疗高血压患者的访问之间的可重复性.
主要方法:
- 143名接受治疗和控制的高血压患者在两次访问中同时和连续测量了两只手臂的血压.
- 所有血压记录都使用了自动振荡计装置.
- 在访问之间评估了手臂测量的可复制性和主导性.
主要成果:
- 同时的SBP IAD在两次访问中都明显低于连续的SBP IAD (P<.01和P<.001).
- 在这两种测量方法中,SBP IAD (≥10mmHg vs. <10mmHg) 的可重复性是微不足道的.
- 随着同时测量,参观者之间手臂优势的持续性显著增加 (54.4%与45.5%相比;P<.01).
结论:
- 同时测量血压是最好的,以准确地确定高血压的手臂.
- 访问之间手臂优势的持久性较差,建议重新评估目前对治疗高血压患者的随访建议.
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