在高血压中风患者中24小时血压浸泡模式的特征
Linh Tran Pham1, Si Dung Chu2,3, Hien Van Hoang4
1Department of C5, Vietnam Heart Institute, Bach Mai Hospital, Hanoi, Vietnam.
Vascular health and risk management
|November 18, 2024
概括
与没有中风的患者相比,高血压中风患者表现出高血压 (BP) 和非滴水模式的更高患病率. 这些发现突出显示,24小时血压异常下降导致中风并发症.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 高血压研究 高血压研究
背景情况:
- 高血压是中风的主要危险因素.
- 了解血压下降模式对于管理高血压患者至关重要,特别是那些中风并发症患者.
研究的目的:
- 为了研究高血压和中风并发症患者的24小时血压 (BP) 浸泡模式的特征.
- 为了比较患有慢性中风并发症的高血压患者和没有慢性中风的高血压患者之间的血压下降模式.
主要方法:
- 描述性研究涉及100名高血压患者,年龄在45-64岁之间,分为两组:有和没有慢性中风并发症 (>6周).
- 分析和比较24小时的门诊血压监测数据,包括白天和夜间的缩血压 (SBP),腹缩血压 (DBP) 和平均动脉压 (MAP).
主要成果:
- 与非中风组相比,中风组的白天SBP,24小时SBP,DBP,MAP和夜间BP指数显著增加 (p <0.05).
- 在中风组中,非滴水血压模式的患病率显著高于中风组 (p < 0.001).
- 血流性中风患者的SBP指数高于缺血性中风患者,尽管在统计学上不显著.
结论:
- 升高的24小时血压指数和更高的非浸泡模式的患病率是高血压患者中风并发症的特征.
- 异常的血压下降模式可能在高血压患者中风的病理生理学或预后中起作用.
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