老年人的日常血压变化 - - 优化测量
Tanya Palsma1, Jurgen A H R Claassen1,2, Edo Richard3,4
1Department of Geriatrics, Radboud University Medical Center.
Journal of hypertension
|February 26, 2025
概括
对于有认知障碍的老年人来说,可靠的日常血压变化 (BPV) 需要至少五天的早晚测量. 这确保了临床翻译的准确评估.
科学领域:
- 老年病的医生 老年病的医生
- 心血管健康 心血管健康
- 神经学 神经学
背景情况:
- 高血压变化 (BPV) 与不良的临床结果相关.
- 缺乏用于BPV评估的标准化方法,这阻碍了临床应用.
- 日常BPV对老年人来说是一个有希望的指标,特别是那些有认知障碍的人.
研究的目的:
- 确定最佳的家庭血压测量数量,以可靠的日常BPV评估在认知投诉的老年人.
主要方法:
- 127名老年人记忆诊所患者每天两次测量血压,持续7天.
- 每天的BPV是使用变化系数计算的,不包括第一天的读数.
- 使用布兰德-阿尔特曼图表和ICC评估了7天BPV和缩短测量周期 (3-6天) 之间的一致性,ICC的值>0.75.
主要成果:
- 减少测量天数扩大了协议限制,减少了一致性.
- 在四个测量日 (ICC=0.91) 中,实现了符合ICC值的可靠BPV评估.
- 从五个测量日开始的BPV显示了与7天参考的类似的诊断关系.
结论:
- 建议至少连续五天在早上和晚上监测系统性家庭血压.
- 这种持续时间确保了在经历认知困难的老年人中可靠的日常BPV值.
- 标准化BPV测量协议对于老年人群的临床转化至关重要.
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