家庭血压和脉率在早上到晚上的变化之间的相互关系
Jia-Bo Zhu1, Qian-Hui Guo1, Yi Zhou1
1Department of Cardiovascular Medicine, Centre for Epidemiological Studies and Clinical Trials, Shanghai Key Laboratory of Hypertension, The Shanghai Institute of Hypertension, National Research Centre for Translational Medicine at Shanghai, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
American journal of hypertension
|July 23, 2025
概括
家庭血压 (BP) 在晚上下降,而脉率上升. 脉率的显著变化与高血压患者血压控制较差有关.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 时间生物学 时间生物学
背景情况:
- 高血压是一个全球性的健康问题,需要持续监测.
- 了解血压 (BP) 和脉率的日间变化对于有效管理至关重要.
- 家庭BP监测为每日BP波动提供了有价值的见解.
研究的目的:
- 为了调查家庭血压和脉率的早晚变化.
- 确定影响这些日间变化的人口和临床因素.
- 探索BP和脉率变化之间的相互关系,以及它们与治疗高血压患者的BP控制的关联.
主要方法:
- 来自中国全国注册的4787名高血压患者 (≥55岁) 的横截面分析.
- 首页 血压和脉率连续七天每天测量三次.
- 日间变化是通过从晚上值减去早晨值来计算的.
主要成果:
- 从早上到晚上,静脉/透气血压下降了-1.9/-1.8 mmHg.
- 脉率从早上到晚上增加了+3.1次/分钟.
- 较高的脉率增加与血压变化有负面关联,并与较低的血压控制率 (60.1%与65.5%) 有关.
结论:
- 在家庭BP和脉率之间存在相互关联的日间变化.
- 从早上到晚上观察到血压下降和脉率上升.
- 这些日间模式可能对高血压管理和血压控制有影响.
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