心血管指数值与高血压患者中风之间的关系 心血管指数 9
Jinbo Liu1, Shantong Jiang1, Xuechen Cui1
1Department of Vascular Medicine, Peking University Shougang Hospital, Beijing, China.
PloS one
|April 24, 2025
概括
心血管指数 (CAVI) 是高血压患者中风的重要预测指标. 较高的CAVI值 (≥9) 与中风患病率增加和动脉样硬化有关.
科学领域:
- 血管医学 血管医学
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 心血管指数 (CAVI) 是动脉样硬化的一个新兴生物标志物.
- 研究高血压患者中CAVI与中风风险的关联对于心血管健康至关重要.
- 了解高CAVI (≥9) 患者中风的患病率,可以为临床实践提供信息.
研究的目的:
- 检查高血压和没有高血压的患者中CAVI值和中风发病率之间的关系.
- 具体评估高血压患者中风患病率,CAVI ≥9与CAVI <9.9患者相比.
- 确定CAVI作为高血压人群中风的独立风险因素.
主要方法:
- 一组735名患者 (293名男性,442名女性) 根据高血压状态和CAVI (<9或≥9) 被分为四组.
- 使用VS-1000仪器测量了CAVI.
- 使用统计分析,包括多重线性回归来确定关联.
主要成果:
- 患有较高CAVI (≥9) 的患者,无论高血压状况如何,中风和冠状动脉疾病的患病率都显著增加.
- 与CAVI<9.9的高血压患者相比,CAVI≥9的高血压患者的中风患病率增加,右侧内心介质厚度 (RIMT) 较高.
- 在整体患者组中,CAVI和年龄被确定为与中风相关的独立因素.
结论:
- 升高的CAVI (≥9) 与高血压患者中风的更高患病率有关.
- 证实CAVI是中风的独立风险因素,特别是在高血压患者中.
- 这些发现强调了CAVI在评估高血压患者心血管风险方面的重要性.
相关概念视频
Special considerations while measuring blood pressure
690
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.
690
Pre-Procedural Guidelines for Assessing Blood Pressure
509
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...
509
Factors affecting Blood pressure
2.7K
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:
2.7K
Assessing Blood pressure in the Leg
1.6K
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
1.6K
Hypertension and Regulation of Blood Pressure
1.8K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
1.8K
Assessment of the Cardiovascular System I: Subjective Data
241
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
241


