在COVID后的POTS中调节血压:超越鼻心动节拍
Madeleine Johansson1,2, Marcus Ståhlberg3,4, Fabrizio Ricci1,5,6
1Department of Clinical Sciences, Lund University, Malmö, Sweden (M.J., F.R., V.H., P.M.N., A.F.).
Hypertension (Dallas, Tex. : 1979)
|November 11, 2024
概括
后COVID-19姿态正静性心力衰竭综合征 (POTS) 与夜间血压升高和昼夜节律中断有关. 需要进一步的研究来探索针对这些患者的针对性血压疗法.
科学领域:
- 心血管医学 心血管医学
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 姿势静止性心力衰竭综合征 (POTS) 是COVID-19感染后的一种已知的心血管并发症.
- POTS的特点是,在站立时心率过度增加,但没有显著的血压下降.
- 在COVID-19后的新发POTS中调查24小时血压概况至关重要.
研究的目的:
- 为了比较COVID-19后新发POTS患者的24小时血压 (BP) 概况,与对照组进行对比.
- 在COVID-19后的POTS中评估昼夜血压变化和低血压发作.
- 为了确定与COVID-19后POTS相关的特定BP模式.
主要方法:
- 一项病例控制研究,涉及100名经验证的COVID-19后POTS患者和100名基于人口的对照.
- POTS的诊断通过积极的头向上倾斜测试得到证实.
- 利用24小时的门诊血压监测来评估昼夜血压变化和低血压的缩血压事件.
主要成果:
- 与对照组相比,COVID-19后POTS患者的夜间缩血压 (SBP) 显著增加.
- 在COVID-19后的POTS组中观察到更高的非浸入和反向浸入BP模式的频率.
- 在COVID-19后的POTS患者中,观察到白天SBP低血压事件的增加.
结论:
- 在COVID-19后的POTS患者显示24小时和夜间SBP的平均值升高.
- 在COVID-19后的POTS中,昼夜BP节律调节的干扰是明显的.
- 未来的研究应该研究针对COVID-19后的POTS量身定制的BP疗法.
关键词:
在 COVID-19 疫情中,血压 血压 血压 血压血压监测,门诊式的血液压力监测.后急性COVID-19综合征的发生.姿势静止性心动减速综合征 (postural orthostatic tachycardia syndrome) 是一种心动减速症候群.更多相关视频
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