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爱荷华州年轻人的血压
Esra'a I Khader1, Linnea A Polgreen1
1Department of Pharmacy Practice and Science, University of Iowa, Iowa City, Iowa, USA.
Journal of clinical hypertension (Greenwich, Conn.)
|August 22, 2025
概括
患有高血压的年轻人经常没有被诊断为高血压 (HTN). 只有17.4%的符合条件的年轻人接受了HTN诊断,这突显了早期检测和预防心血管事件的关键差距.
科学领域:
- 心脏病学
- 公共卫生
- 流行病学
背景情况:
- 高血压 (HTN) 在年轻人中很常见,但往往没有被诊断出来.
- 早期发现和治疗HTN对于预防心血管并发症至关重要.
- 与老年人相比,年轻人对HTN的认识和诊断率较低.
研究的目的:
- 在爱荷华州发现患有高血压的年轻人 (18-40岁).
- 确定在两年内被诊断患有HTN的年轻人的百分比.
- 在这个人口群体中确定与延迟HTN诊断相关的风险因素.
主要方法:
- 从2016年至2022年分析电子健康记录的回顾性观察性研究.
- 纳入标准:18至40岁的成年人,至少有三次血压升高 (≥140/ 90 mmHg).
- 随访两年以确定HTN诊断;用于诊断时间的考克斯回归分析.
主要成果:
- 在22299名患有HBP的成年人中,7523人 (33. 7%) 是年轻人 (18-40岁).
- 只有17. 4%的HBP年轻人在两年内被诊断为HTN.
- 与老年人相比,年轻人诊断的时间更长;男性性别,少数民族和并发症等特定风险因素缩短了这一时间.
结论:
- 很大一部分患有HBP的年轻人仍未被诊断出来,从而构成未来心血管事件的风险.
- 低诊断率凸显了对年轻成年人加强查方案和有针对性的干预措施的需要.
- 解决与年龄相关的不足诊断对于缓解未经治疗的高血压的长期健康后果至关重要.


