索马里裔美国人的夜间血液动力学:对心血管风险的影响
Ian M Greenlund1, Dimitrios Kantas2,3, Sakthi Surya Prakash2,4
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA, greenlund.Ian@mayo.edu.
American journal of nephrology
|August 25, 2024
概括
与白人成年人相比,年轻的索马里裔美国人表现出明显的24小时血压 (BP) 和心率 (HR) 模式. 这些差异,包括夜间浸泡减弱和动脉硬度增加,表明潜在的心血管健康差异.
科学领域:
- 心血管健康 心血管健康
- 健康差异 在健康上的差异
- 人口健康 人口健康
背景情况:
- 在各种少数群体中记录了心血管健康差异.
- 索马里裔美国人的心血管健康,一个独特的亚群,并没有很好地理解.
- 门诊血压 (BP) 监测对于评估24小时BP模式和心血管风险至关重要.
研究的目的:
- 在年轻的索马里美国人中调查24小时血压和心率 (HR) 概况.
- 将索马里裔美国人的BP和HR模式与白人参与者的BP和HR模式进行比较.
- 确定索马里美洲社区潜在的心血管健康差异.
主要方法:
- 招募了50名参与者 (25名索马里裔美国人,25名白人成年人).
- 利用24小时的门诊血压监测,每20分钟记录一次.
- 量化白天 (10点至20点) 和夜间 (12点至6点) 血压,血压和门诊动脉硬.
主要成果:
- 日间BP和HR在索马里裔美国人和白人参与者之间是相似的.
- 夜间血压类似,但索马里裔美国人的夜间血压较高 (p = 0.013).
- 索马里裔美国人表现出舒张血压 (p = 0.038) 和HR (p = 0.007) 的夜间浸泡减弱,以及更高的门诊动脉硬度 (p = 0.045).
结论:
- 与白人成年人相比,年轻的索马里裔美国人表现出独特的24小时血液动力学概况.
- 研究结果突出了门诊动脉硬度,夜间血压和夜间HR的差异.
- 这些结果表明,索马里裔美国人可能存在心血管健康差异和未来风险.
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