Blood Pressure Time in Target Range and its Impact on Clinical Outcomes.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2024-08-14 DOI:10.1007/s11886-024-02111-9

Astefanos Al-Dalakta, Chadi Tabaja, Issam Motairek, Abdel Hadi El Hajjar, Neel Agarwal, Julie St John, Luke J Laffin

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Abstract

Purpose of review: To examine the concept of time in target range for blood pressure (BP) management, exploring its calculation methods, implications for patient outcomes, and potential use in patient care.

Recent findings: Recent post-hoc analyses of clinical trials and observational studies highlight the importance of BP time in target range in predicting cardiovascular outcomes. Higher time in target range correlates with reduced risks of major adverse cardiovascular events including heart failure, stroke, myocardial infarction and all-cause mortality. Additionally, longer time in target range decreases the risk of incident atrial fibrillation and risk of developing dementia. BP time in target range is a novel metric offering valuable insights into BP control and its impact on clinical outcomes. Higher time in target range is consistently associated with better cardiovascular outcomes across various patient populations. However, the clinical application of BP time in target range requires further investigation through prospective clinical trials and real-world studies. Integrating wearable devices for continuous BP monitoring could enhance the practical utility of BP time in target range in hypertension management.

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血压在目标范围内的时间及其对临床结果的影响。

综述的目的：研究血压（BP）管理目标范围内时间的概念，探讨其计算方法、对患者预后的影响以及在患者护理中的潜在用途：最近对临床试验和观察性研究进行的事后分析强调了血压在目标范围内的时间对预测心血管预后的重要性。血压在目标范围内的时间越长，发生主要不良心血管事件（包括心力衰竭、中风、心肌梗死和全因死亡率）的风险就越低。此外，血压在目标范围内的时间越长，发生心房颤动的风险和患痴呆症的风险就越低。血压在目标范围内的时间是一个新的指标，它为了解血压控制及其对临床结果的影响提供了宝贵的信息。血压在目标范围内的时间越长，各种患者的心血管预后越好。然而，血压在目标范围内的时间在临床上的应用还需要通过前瞻性临床试验和真实世界研究进行进一步调查。整合可穿戴设备进行连续血压监测可提高血压在目标范围内的时间在高血压管理中的实际效用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.