心血管健康评分轨迹与高血压患者中风事件之间的关系
Huancong Zheng1, Liuxin Li2, Haibo Gao3
1Department of Cardiology, Second Affiliated Hospital of Shantou University Medical College, Shantou, China.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|February 18, 2026
概括
保持高的心血管健康 (CVH) 评分或随着时间的推移而改善,可显著降低高血压患者中风风险. 持续较低的CVH得分轨迹与中风风险更高有关.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心血管健康 (CVH) 的发展与高血压中风风险之间的联系尚未得到充分证实.
- 高血压是中风的主要危险因素,需要了解可修改的因素.
研究的目的:
- 研究不同心血管健康 (CVH) 评分轨迹与高血压患者中风的长期风险之间的关联.
- 为了确定CVH得分随时间变化的特定模式,可以预测中风发生率.
主要方法:
- 利用潜伏混合模型,在17,631名高血压参与者 (2006-2010年) 中识别了五种不同的CVH得分轨迹 (低稳定,中度增加,中度减少,高稳定I,高稳定II).
- 在这些轨迹中使用Cox比例危险模型来评估中风风险 (2010-2021年),并对混因素进行调整.
- CVH评分汇总了八个指标:血压,葡萄糖,脂质,BMI,吸烟,睡眠,活动和饮食.
主要成果:
- 在平均10.94年的随访期间,发生了1499次中风.
- 与低稳定的CVH组相比,中风的调整危险比率在中度增加 (0.76),中度减少 (0.72),高稳定I (0.51) 和高稳定II (0.32) 组显著较低.
- 较高和改善的CVH得分显示出对中风的保护作用.
结论:
- 长期维持高CVH得分或改善CVH得分与高血压患者中风风险降低有关.
- 积极的CVH得分轨迹为此群体中风预防提供了潜在的策略.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
636
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
636
Hypertension II: Pathophysiology
1.1K
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
1.1K
Assessment of the Cardiovascular System I: Subjective Data
938
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
938
Factors affecting Blood pressure
7.4K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
7.4K
Atherosclerosis IV: Nursing Management
480
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
480
Errors occurring during blood pressure monitoring
1.5K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.5K


