在中风和冠心病中血压变化的剂量反应
Woro Riyadina1, Sulistyowati Tuminah1, Lely Indrawati1
1Research Center for Public Health and Nutrition, Organization Research for Health, National Research and Innovation Agency, Center Jakarta, Indonesia.
Current hypertension reviews
|February 27, 2025
概括
血压变化 (BPV) 预测了诸如中风和冠心病 (CHD) 等血管事件. 控制BPV对于预防这些严重的血管疾病至关重要.
科学领域:
- 心血管科学 心血管科学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 血压变化 (BPV) 被认为是血管事件的潜在预测因素.
- 升高的BPV可以触发目标器官损伤.
研究的目的:
- 确定血压变化 (BPV) 与中风和冠心病 (CHD) 的发生率之间的关联.
- 在印度尼西亚的博戈尔队列研究中调查BPV作为风险因素.
主要方法:
- 一项前性队列研究涉及1649名印尼成年人 (年龄≥31岁) 超过六年.
- 血管事件 (中风或心血管疾病事件) 在2011-2017年和2012-2018年期间进行了监测.
- 对年龄,高血压状况和脂质状况进行统计分析.
主要成果:
- 在六年监测期间,血管事件的发生率为12.4%.
- 血管事件,中风和心血管疾病的风险增加在缩和腹移血压BPV的更高五分位数中观察到.
- 静脉血压 (≥12.10 mmHg) 和静脉血压 (≥7.31 mmHg) 的具体值表明风险显著增加 (分别为OR 2.3和1.7).
结论:
- 血压变化 (BPV) 是血管事件的独立预测因素,包括中风和冠心病 (CHD).
- 临床医生和公众应优先考虑控制BPV,因为BPV是心血管疾病的可修改风险因素.
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