儿科Moyamoya的血压概况:纵向分析和重血管化影响
Nour Suliman1, Roxana Cleper2, Shelly I Shiran3
1Gray Faculty of Medicine and Health Science, Tel Aviv University, Tel Aviv, Israel.
超过三分之一的儿科莫亚莫亚患者患有高血压 (BP),与更严重的疾病有关. 重血管化手术可以改善这些儿童的血压控制.
科学领域:
- 神经学 神经学
- 儿科医学 儿科医学
- 心脏病学 心脏病学
背景情况:
- 莫亚莫亚病是一种渐进的脑动脉病变,导致重复性中风.
- 儿科发病的莫亚莫亚需要了解相关的疾病,如高血压.
研究的目的:
- 为了确定高血压 (BP) 在儿科莫亚莫亚患者的患病率.
- 在这个队列中调查高血压的临床和神经成像相关性.
主要方法:
- 在44名儿科莫亚莫亚患者的血压 (BP) 追溯和前性测量.
- 使用2017年美国儿科学会指南对高血压的分类.
- 评估末端器官功能障碍和高血压的病因.
主要成果:
- 36.3%的患者患有高血压,高血压的不同阶段.
- 高血压显着与双边摩亚摩亚,临床中风和较大的脑血管狭窄症有关.
- 50%的患者血压有所改善,25%的患者血压完全正常化,特别是在重血管化手术后.
结论:
- 高血压在儿科摩亚莫亚中很常见,表明更严重的疾病.
- 重血管化手术显示出改善这些患者血压控制的潜力.
- 需要进一步的研究来了解机制并优化高血压管理.
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相关概念视频
Measurement of Blood Pressure
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
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.
Factors affecting Blood pressure
Physiological Factors:
Assessment of blood pressure in brachial artery(two-step method)
