一个用于识别反向跳水血压模式的实际预测指标:左心房合指数.
Ayca Arslan1, Dogan Ilıs2, Inanc Artac2
1Department of Cardiology, M.D. Kafkas University School of Medicine, Kars, Turkey. hivda.arslan@hotmail.com.
新的左心室合指数 (LACI) 有效地预测高血压患者的逆血压 (BP) 模式. 这种心声回声测量比传统标志物更强有力的预测指标,有助于评估心血管风险.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 高血压经常导致心肌异常.
- 反向浸泡血压 (BP) 模式与不良的心血管结果和亚临床心脏损伤有关.
- 左心室合指数 (LACI) 是一种用于评估心脏功能的新型心声图学工具.
研究的目的:
- 评估左心室合指数 (LACI) 作为高血压个体反向浸泡血压模式的预测指标.
主要方法:
- 招募了404名高血压患者,接受了24小时的门诊血压监测.
- 根据夜间的血压,患者被分为滴水,非滴水和逆滴水组.
- 进行了心声成像,并为所有参与者计算了LACI.
主要成果:
- 在26%的患者中发现了反向浸泡式血压模式.
- 反向浸泡患者表现出更高的LACI,心肌E/A,E/Em和左心房体积指数 (LAVI).
- 拉西,拉维和Am侧值独立预测了反向浸泡模式;拉西表现优于拉维.
结论:
- 易于测量的LACI是反向浸泡血压模式的优越心声预测器.
- 对于这种高血压亚型,LACI提供了比传统的心声回声标记器更可靠的评估.
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相关概念视频
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Assessing Blood Pressure
Measurement of Blood Pressure
Assessment of blood pressure in brachial artery(two-step method)
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Special considerations while measuring blood pressure
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.
