血压的女性和年龄特定的参考值及其与产前后心脏异常的关系
Emma B N J Janssen1,2, Robert-Jan Alers1,3, Eva G Mulder1
1Department of Obstetrics and Gynaecology, Maastricht University Medical Centre+ (MUMC+), Maastricht, the Netherlands.
European journal of preventive cardiology
|July 15, 2025
概括
为女性提出了新的高血压指南,其中女性高血压 (BP) 的门值低于当前标准. 这些新的血压值与有先兆子史的女性心脏问题有关.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 妇女健康 妇女健康
背景情况:
- 心血管风险不成比例地影响女性的血压 (BP) 水平低于男性.
- 当前的普遍高血压值可能无法充分识别所有人群,特别是女性的风险.
研究的目的:
- 建立女性和年龄特定的高血压门.
- 评估这些新值与高风险的孕前后妇女的亚临床心脏异常之间的关联.
主要方法:
- 一项涉及心血管评估的横截面研究,包括30分钟血压监测和心声回声.
- 在正常压力怀孕的健康基准组中,确立了血压值 (≥95百分位数).
- 在有先兆子史的女性中,评估了与高血压相关的心脏风险.
主要成果:
- 女性特有的高血压值被确定为132.8 mmHg缩或81.0 mmHg腹缩.
- 在曾经患有先发性症的女性中,血压水平在132.8mmHg和140mmHg之间显著与左心室同心重塑,腹功能障碍和亚临床心力衰竭的几率增加有关.
结论:
- 女性特有的高血压值低于目前的指导方针 (≥133/81 mmHg与≥140/90 mmHg).
- 这些较低的值与曾经患有先兆子宫的女性的心脏功能障碍相关.
- 根据性别和年龄量身定制的BP解释可以改善高风险女性的心力衰竭的预防.
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