COVID-19大流行对高血压表型的影响 (ESH ABPM COVID-19研究)
Aleksandra Ostrowska1, Wiktoria Wojciechowska1, Marek Rajzer1
11st Department of Cardiology, Interventional Electrocardiology and Arterial Hypertension, Jagiellonian University Medical College, Krakow, Poland.
European journal of internal medicine
|September 11, 2024
概括
COVID-19 疫情对血压控制产生了负面影响. 在大流行期间,高血压表型恶化,与大流行前时期不同,这表明公共卫生问题很重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 高血压研究 高血压研究
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健的提供.
- 有效的血压管理对于心血管健康至关重要.
- 了解流行病对慢性疾病管理的影响至关重要.
研究的目的:
- 为了评估COVID-19大流行对血压控制的影响.
- 在大流行期间使用门诊血压监测 (ABPM) 评估高血压表型的变化.
- 为了比较疫情期间和之前患者的血压控制.
主要方法:
- 一项涉及1419名在33个中心接受治疗的高血压患者的比较研究.
- 分析了两个组:一个流行病组 (COVID-19期间的ABPM) 和一个流行病前组 (COVID-19之前的ABPM).
- 评估了高血压表型,包括掩盖高血压,白袍高血压,持续控制高血压 (SCH) 和持续不受控制的高血压 (SUCH).
主要成果:
- 两组之间基线高血压表型没有显著差异.
- 在流行病组中,在访问之间没有观察到高血压表型的显著变化 (p = 0.08).
- 相比之下,疫情前组的SCH增加 (28.8%至38.4%) 和SUCH减少 (34.2%至27.8%).
- 多变量分析确定COVID-19大流行时期是与高血压表型的负面变化有关的唯一因素.
结论:
- 在COVID-19的流行期间,与血压控制的负面影响有关.
- 与大流行前趋势相比,高血压表型在大流行期间表现出不利的变化.
- 这些发现凸显了在公共卫生危机期间持续监测和管理高血压的需要.
相关概念视频
Hypertension and Regulation of Blood Pressure
1.9K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.9K
Factors affecting Blood pressure
3.0K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.0K
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
Pulmonary Hypertension: Classification and Pathogenesis
158
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
158
Disorders of the Autonomic Nervous System
588
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
588
Measurement of Blood Pressure
896
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
896


