周游血压表型和年轻人心血管风险:SHIP-AHOY研究
Joseph T Flynn1, Philip R Khoury2, Michael A Ferguson3
1Department of Pediatrics, University of Washington School of Medicine, Seattle, WA; Division of Nephrology, Seattle Children's Hospital, Seattle, WA.
The Journal of pediatrics
|April 19, 2025
概括
年轻人的血压表型与心脏和血管损伤的早期迹象有关. 门诊血压监测是评估青少年心血管风险的关键.
科学领域:
- 心脏病学 心脏病学
- 儿科高血压 儿科高血压
- 血管生物学 血管生物学
背景情况:
- 年轻人血压升高是一个越来越令人担忧的问题.
- 了解BP表型及其与目标器官损伤的联系对于早期干预至关重要.
研究的目的:
- 通过临床和24小时门诊血压 (ABP) 监测定义的特定血压 (BP) 表型与健康青少年目标器官损伤标志物之间的关联.
主要方法:
- 一项涉及373名青少年的横截面研究.
- 高血压分为四种表型:正常,白衣高血压,门诊高血压和掩盖高血压.
- 心声图和带-大腿脉冲波速用于评估心血管风险标志物.
主要成果:
- 与正常血压的青少年相比,患有门诊或掩盖高血压的青少年表现出更糟糕的心脏功能和动脉硬度增加.
- 血压表型与腹和心功能受损以及动脉硬度增加显著相关,即使在调整BMI百分位数后也是如此.
结论:
- 青少年的血压表型独立地与心血管风险的替代标记物有关,包括心脏功能受损和血管硬性增加.
- 门诊血压监测在儿童群体的综合性心血管风险评估中发挥着至关重要的作用.
相关概念视频
01:28Special considerations while measuring blood pressure
710
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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.
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.
710
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
525
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
525
01:28Factors affecting Blood pressure
3.0K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.0K
01:15Assessment of blood pressure in brachial artery(one-step method)
560
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
560
01:23Assessment of blood pressure in brachial artery(two-step method)
661
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
661
01:17Measurement of Blood Pressure
896
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
896