在住院病人的情况下,急性血压升高
Ali Etemadi1, Parth Kumar1, Timothy S Anderson2
1Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, California, USA.
Heart (British Cardiac Society)
|September 17, 2025
概括
在住院患者中管理高血压 (BP) 是具有挑战性的,因为无症状病例的指导方针不一致. 本综述综合了当前的知识,为评估和治疗住院患者血压升高提供了实际框架.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 临床实践指南 临床实践指南
背景情况:
- 升高的血压 (BP) 在住院患者中很常见.
- 具有末端器官损伤的高血压紧急情况是明确的,但无症状的血压升高缺乏管理共识.
- 住院患者血压测量的准确性和高血压的影响尚未得到充分理解.
研究的目的:
- 综合当前关于高血压住院患者的知识.
- 为评估和管理无症状住院患者血压升高提供实用框架.
- 解决现有证据的异质性和碎片化问题.
主要方法:
- 文献综述和当前证据的综合.
- 分析导致管理实践不一致的因素.
- 为临床决策制定一个整体框架的开发.
主要成果:
- 在管理无症状住院患者血压升高方面存在显著差异.
- 担忧包括错误诊断紧急情况和测量不准确性.
- 关于住院患者血压升高的短期和长期后果的数据有限.
结论:
- 对于高血压的住院患者,需要采用标准化,基于证据的方法.
- 该审查提供了一个指导临床实践和改善患者结果的框架.
- 需要进一步的研究来澄清住院患者血压管理策略的长期影响.
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