关节血压对应于手臂血压:年龄和性别特定的参考值
Da-Eun Sung1, Jeong-Gyu Kang2, Eun-Mi Lee3
1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
American journal of hypertension
|April 12, 2025
概括
脚血压 (BP) 随着年龄的增长而增加,男性的血压高于女性,即使在相同的手臂血压下. 这些发现为准确的高血压诊断提供了关键的年龄和性别特定的参考值.
科学领域:
- 心血管医学 心血管医学
- 高血压研究 高血压研究
- 临床诊断 临床诊断 临床诊断
背景情况:
- 手臂血压 (BP) 是高血压诊断的标准.
- 目前的指南缺乏年龄和性别特定的参考值,用于像脚这样的替代血压测量地点.
- 这种缺乏可能导致高血压的错误诊断.
研究的目的:
- 为了研究不同年龄组和性别的卧底脚血压的变化.
- 为了确定关血压的年龄和性别特定的参考值,在等效的坐着手臂血压水平.
- 为了提高高血压诊断的准确性,使用替代的血压测量站点.
主要方法:
- 对102,956名年龄在20-79岁之间的成年人的健康检查数据 (2010-2019) 的分析.
- 排除患有异常脚腕指数 (ABI) 或心血管疾病,中风或恶性病史的参与者.
- 使用标准化协议和验证的设备,在不同年龄和性别群体中比较卧底脚血压与坐着的手臂血压.
主要成果:
- 随着年龄的增长,后腿脚BP读数持续增加.
- 男人表现出比女性更高的卧底脚血压,在相当的坐着手臂血压水平.
- 在130/80毫米平时坐着的手臂血压下,后腿脚血压在142/75毫米平时 (女性,20岁) 到164/83毫米平时 (男性70岁) 之间.
结论:
- 关节BP与年龄有正相关性,男性比女性更高.
- 这项研究提供了基本的年龄和性别特异性参考值,用于仰卧脚BP.
- 这些值提高了高血压的诊断准确性,当手臂血压测量是不可行的.
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