在中年高血压患者的早期阶段评估心室动脉合
Andrea Vitali1,2, Giuseppe Biondi Zoccai3,4, George W Booz5
1Department of Medicine and Surgery, UniCamillus University, Rome, Italy. andreavitali.cardio@libero.it.
Journal of human hypertension
|July 8, 2025
概括
生活方式的改变和抗高血压药物可以改善早期高血压的腹腔动脉合 (VAC). 观察到血压,心率和动脉硬度的改善,突出显示了它们在预防心血管疾病方面的作用.
科学领域:
- 心血管生理学心血管生理学
- 临床高血压研究 临床高血压研究
- 心声和血管评估和心声和血管评估
背景情况:
- 腹腔动脉合 (VAC) 对心血管健康至关重要,但通常因衰老和高血压等并发症而受损.
- 没有器官损伤的早期,中年高血压患者是研究影响VAC的干预措施的关键组.
- 评估心肌功能和动脉硬性对于理解VAC变化至关重要.
研究的目的:
- 研究生活方式修改和抗高血压药物治疗对早期高血压个体的VAC的影响.
- 评估干预后动脉弹性 (Ea),脉冲波速度 (cfPWV) 和心肌工作 (MW) 参数的变化.
- 确定高血压患者的VAC和血管/心肌参数之间的关系.
主要方法:
- 这是一项对126名个人 (高血压和正常血压) 的回顾性观察研究,平均年龄为40岁.
- 评估临床,心声和血管参数,包括Ea,cfPWV,全球纵向应变 (GLS) 和心肌工作 (MW).
- 干预措施包括改变生活方式的建议和随后的抗高血压药物治疗持续高血压.
主要成果:
- 高血压患者最初表现出更高的血压 (BP),心率 (HR) 和心肌工作 (MW) 组件 (GWI,GCW,GWW).
- 生活方式的改变改善了BP,HR,VAC,Ea,cfPWV,全球浪费工作 (GWE) 和GLS.
- 抗高血压治疗进一步改善了BP,HR,VAC,Ea,cfPWV和所有MW参数,包括GLS.
结论:
- 生活方式的改变和抗高血压药物治疗有效地改善了早期高血压的VAC.
- 降低血压,戒烟和HR控制是通过VAC增强预防心血管疾病的重要因素.
- 在干预后,VAC与动脉硬 (cfPWV) 和心肌功能 (GLS) 呈现出线性关系.
相关概念视频
Assessment of blood pressure in brachial artery(two-step method)
923
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...
923
Hypertension III: Clinical Manifestations and Diagnostic Studies
54
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
54
Assessment of blood pressure in brachial artery(one-step method)
706
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:
706
Assessing Blood pressure using a doppler ultrasound
1.7K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.7K
Hypertension II: Pathophysiology
90
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
90
Assessment of apical radial pulse
877
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
877


