使用在办公室的被动腿部提升来识别具有低于最佳血压控制的老年人
Jeremy R Williams1,2, Molly A Cole1,2, Ryan J Pewowaruk1,2
1Department of Cardiovascular Medicine, University of Wisconsin-Madison.
Journal of hypertension
|September 9, 2024
概括
被动腿部提升 (PLR) 可以评估老年人血压 (BP) 控制. 在PLR后总外围电阻的变化减少表明BP控制不足,提供了基于办公室的评估工具.
科学领域:
- 心血管生理学心血管生理学
- 老年医学 老年医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 被动腿提升 (PLR) 是一种动态的机动来增加心脏预负荷.
- PLR可以作为一个高效的,基于办公室的工具来评估血压 (BP) 控制.
研究的目的:
- 评估PLR在评估老年人血压控制中的实用性.
- 为了确定PLR期间的血液动力学变化是否与血压控制状态相关.
主要方法:
- 研究了103名退伍军人 (≥60岁) 的血压控制变化.
- 24小时的门诊血压监测将参与者分为最佳和亚最佳血压控制组.
- 在PLR前,活跃PLR和PLR后的状态下,使用生物阻抗和腕血压测量了血液动力学参数.
- 多重线性回归分析了血压控制和血液动力学变化之间的关联.
主要成果:
- 在PLR后,低于最佳的血压控制与总外周阻力 (ΔTPR) 的变化显著减少有关.
- 在调整人口统计学变量之后,这种关联仍然很重要.
- 这些发现表明PLR诱导的血液动力学变化与血压控制状态之间存在潜在的联系.
结论:
- 基于PLR诱导的血液动力学变化的办公室测量可以确定老年人具有低于最佳的血压控制.
- 当24小时的门诊血压监测无法使用时,这种方法提供了一个潜在的替代方案.
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