气候对高血压患者血压节律和左心室参数的影响:比较研究
A Sivkov1, N Chernus2, T Sakharova3
1Department of Clinical Pharmacology and Propaedeutics Internal Diseases of the Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
La Clinica terapeutica
|November 25, 2024
概括
俄罗斯亚北极地区的高血压患者表现出更高的不下降血压率. 这种模式与增加的血压变化和左心室缩有关,需要特定于气候的护理.
科学领域:
- 心脏病学 心脏病学
- 环境健康 环境健康
- 高血压研究 高血压研究
背景情况:
- 动脉血压 (BP) 节律性可能受到气候的影响,可能会影响高血压的结果.
- 气候的地理变化可能会影响高血压患者的心血管健康.
- 了解这些变异对于有效管理高血压至关重要.
研究的目的:
- 为了研究高血压患者的动脉血压 (BP) 节律性特征.
- 评估BP节律性对俄罗斯不同气候区左心室结构的影响.
- 为了比较温带 (莫斯科) 和亚北极 (坎查特卡) 地区的高血压患者.
主要方法:
- 600名高血压患者被分为温带和亚北极的组.
- 评估包括心血管超声波,SCORE 2和弗雷明汉风险尺度.
- 统计分析包括t测试,曼-惠特尼U和相关性分析 (P <0.05).
主要成果:
- 49%的亚北极患者表现出没有浸泡的血压 (<10%的夜间减压).
- 非浸泡模式与扩张的透静血压变化和增加的双产物相关.
- 亚北极居民的非浸泡ABPM模式与心血管风险因素有关.
结论:
- 亚北极地区的居民显示,非低血压模式的患病率更高.
- 不浸泡的血压与增加的血压变化和左心室缩有关.
- 在不同气候条件下,需要针对高血压进行量身定制的诊断和治疗策略.
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