年轻成年人中二次高血压的患病率和危险因素
Jean-Baptiste de Freminville1,2, Margherita Gardini1, Antoine Cremer3
1Hypertension Unit (J.-B.d.F., M.G., S.C., G.B., N.G., A.L., C.M., A.-M.M., J.R., N.P.-V., M.A., L.A.), Hôpital Européen Georges Pompidou, AP-HP, Université Paris Cité, France.
Hypertension (Dallas, Tex. : 1979)
|September 19, 2024
概括
二次性高血压 (2HTN) 影响近30%的年轻人患有高血压. 对于所有40岁以下的高血压患者,无论血压或年龄,都建议对二次原因进行查.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
背景情况:
- 年轻成年人中高血压的二次原因的患病率在很大程度上是未知的.
- 在这一群体中,关于是否需要对二次高血压 (2HTN) 进行查存在缺乏共识.
- 这项研究旨在确定2HTN在年轻人中的患病率和原因.
研究的目的:
- 调查年轻成年人中二次高血压 (2HTN) 的患病率.
- 为了确定在这个人群中导致2HTN的常见病因因素.
- 为查方案提供基于证据的建议.
主要方法:
- 一项横截面研究包括2090名年龄在18~40岁的确诊高血压患者.
- 对所有参与者进行了对二次高血压查的全面检查.
- 分析了2HTN和相关因素的患病率.
主要成果:
- 在2HTN的显著患病率在29.6%的年轻高血压患者中被发现.
- 主要的阿尔多斯特 (54.8%) 是主要的原因,其次是血管高血压 (18.4%) 和初级脏疾病 (12.9%).
- 与较高的2HTN患病率相关的因素包括女性性别,低血,多药性,瘦体质指数和糖尿病.
结论:
- 二次高血压在年轻高血压患者 (29.6%) 中非常普遍,无论年龄或血压水平如何.
- 强烈建议所有40岁以下的个人进行二次高血压原因查.
- 在这个年龄组中,早期发现和治疗二次高血压至关重要.
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