在中风幸存者中的血压错误分类,在综合性中风预防诊所中进行了跟踪
M Carter Denny1, Maha Almohamad2, Emmanuel Ebirim3
1Department of Neurology, Georgetown University Medical Center and MedStar Health: Washington, D.C., United States.
概括
精确的血压测量对于中风幸存者至关重要. 标准的临床血压评估错误地对27.3%的患者进行了控制分类,特别是非白人.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 高血压是二次中风预防的关键可修改的危险因素.
- 超过50%的中风幸存者在中风后没有控制的血压 (BP).
- 准确的临床血压评估对于有效的药物管理至关重要.
研究的目的:
- 评估在多样化的中风患者群体中对临床血压控制的错误分类.
- 为了比较标准自动化办公室BP (AOBP) 和无人监督的AOBP设备的BP读数.
- 为了确定与BP错误分类相关的人口和临床因素.
主要方法:
- 一组216名缺血性中风,脑内出血和过渡性缺血性发作患者在出院后进行了跟踪.
- 使用标准的自动化办公室BP机器和无人监护的AOBP机器测量血压.
- 多项逻辑回归分析了错误分类类别 (一致控制,一致不受控制,伪抗高血压,掩盖不受控制) 与人口/临床变量相对应.
主要成果:
- 标准临床血压测量错误地分类了27.3%的中风幸存者的血压控制.
- 与非西班牙裔白人患者相比,非西班牙裔黑人/非洲裔美国人和西班牙裔患者面具无控制血压的几率明显更高.
- 种族是与BP错误分类相关的重要因素.
结论:
- 标准的办公室血压测量对中风幸存者的精确血压控制评估存在障碍.
- 建议使用准确的血压测量工具,如无人监护的AOBP,家庭血压和门诊血压监测.
- 优化中风后的BP治疗需要改进的测量策略.
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