一个随机试验比较常规与严格的家庭血压控制在高血压的老年患者:协议和初步进展
Dong-Yan Zhang1, Yi-Qing Zhang1, De-Wei An1
1Department of Cardiovascular Medicine, Shanghai Institute of Hypertension, Shanghai Key Laboratory of Hypertension, National Research Centre for Translational Medicine, State Key Laboratory of Medical Genomics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
这项研究调查了预防高血压的中国老年患者心血管事件的最佳家庭血压 (HBP) 目标. 它旨在确定更严格的HBP控制是否与标准控制相比减少并发症.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 临床试验 临床试验
背景情况:
- 预防心血管并发症的最佳家庭血压 (HBP) 目标仍未确定.
- 高血压的老年人往往需要精确的血压管理策略.
研究的目的:
- 为了评估紧密对比标准HBP控制在老年高血压患者减少心血管事件的有效性.
- 在社区环境中为长期心血管健康制定最佳的HBP目标.
主要方法:
- 社区试验中的家庭血压干预 (HomeBP) 是中国的一项全国性随机临床试验.
- 60至80岁的1万名高血压患者将随机分配到4年内125-134/75-84mmHg或<125/75mmHg的HBP目标.
- 一个复杂的IT系统有助于实时数据传输和专家指导的治疗调整.
主要成果:
- 目前,有2281名患者被随机分配,两组之间没有显著的基线差异.
- 主要综合结局包括心血管死亡,心肌梗塞,中风和心力衰竭住院治疗.
- 持续的数据收集和分析将决定不同HBP目标的影响.
结论:
- 家庭BP试验正在积极调查家庭血压的最佳水平,以预防老年高血压患者心血管并发症.
- 结果将为管理社区环境中的高血压提供临床指南.
- 这项研究解决了理解HBP控制策略的关键差距.
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相关概念视频
Pre-Procedural Guidelines for Assessing Blood Pressure
Hypertension and Regulation of Blood Pressure
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Errors occurring during blood pressure monitoring
Several factors...
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
