在患有高血压的成年人中,腕脉冲波速度在第一次中风时的和效应:一个前性队列研究
Wei Zhou1,2, Lingjuan Zhu1,2, Tao Wang1,2
1Center for Prevention and Treatment of Cardiovascular Diseases, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Frontiers in cardiovascular medicine
|September 19, 2025
概括
脚脉冲波速率 (baPWV) 显示了中国高血压成年人中风风险的和效应. 在17.5m/s以上,baPWV不会显著增加中风风险,这表明潜在的值.
科学领域:
- 心血管医学 心血管医学
- 高血压研究 高血压研究
- 预防中风 预防中风
背景情况:
- 以前的研究表明,脚脉冲波速度 (baPWV) 与高血压患者中风之间存在线性联系,主要来自非中国人群.
- 在中国,关于这种关联的研究有限,这突显了区域理解的差距.
研究的目的:
- 研究baPWV对高血压的中国成年人首次中风风险的和效应.
- 确定baPWV的潜在转折点,即中风风险高原.
主要方法:
- 利用了中国高血压注册研究中的7,198名高血压成年人的数据.
- 采用考克斯比例危险回归,限制立方脊柱平滑和卡普兰-梅尔生存分析来评估baPWV对首次中风事件的影响.
主要成果:
- 观察到baPWV在第一冲击时具有和效应,其拐点为17.5 m/s.
- 对于baPWV<17.5m/s,每1m/s的增加与中风风险增加31%相关 (HR: 1.31).
- 对于baPWV≥17.5m/s,没有发现与中风风险的显著关联 (HR:0.99).
结论:
- 脚脉冲波速度 (baPWV) 证明了中国高血压成年人首次中风风险的和效应.
- 升高的baPWV (<17.5 m/s) 与中风风险增加有关,但这种关联在较高的baPWV值下降.
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