Blood Pressure最新文献

{"title":"Acupuncture for primary hypertension: a systematic review and meta-analysis of randomised controlled trials.","authors":"Zhi-Hong Li, Hua-Wei Gao, Fang-Fang Shen, Yan Lu, Wei Chen","doi":"10.1080/08037051.2026.2654103","DOIUrl":"10.1080/08037051.2026.2654103","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis evaluated the efficacy and safety of acupuncture for primary hypertension, based on randomised controlled trials (RCTs) published between 2015 and 2024.</p><p><strong>Methods: </strong>We searched seven major databases for RCTs comparing acupuncture to control interventions. The primary outcomes were changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP). Meta-analyses utilised random-effects models, and the Cochrane Risk of Bias tool assessed study quality.</p><p><strong>Results: </strong>Seven RCTs (<i>n</i> = 812) were included. Acupuncture was associated with lower SBP [mean differences (MD) = -6.73 mmHg, 95% confidence interval (CI): -8.84 to -4.62] and DBP (MD = -6.59 mmHg, 95% CI: -9.42 to -3.76). Heterogeneity was substantial for SBP (<i>I</i>² = 73.3%) and considerable for DBP (<i>I</i>² = 90.9%). Notably, the SBP analysis included seven studies, whereas the DBP analysis included six studies, and the similar absolute pooled reductions should be interpreted cautiously, given the small and not fully overlapping study sets. Exploratory subgroup analyses suggested blood pressure reductions across several acupuncture modalities, though each subgroup contained very few studies. Adverse-event reporting was limited and inconsistent across studies. Formal tests for publication bias were underpowered given the small number of included studies.</p><p><strong>Conclusions: </strong>Acupuncture may have blood pressure-lowering effects in patients with primary hypertension, but the evidence is limited by substantial heterogeneity, a small number of studies and considerable variation in intervention type and exposure. Larger, well-designed, multi-centre RCTs with standardised protocols and longer follow-up are needed to confirm these findings and establish optimal treatment parameters.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2654103"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/08037051.2026.2647700","DOIUrl":"10.1080/08037051.2026.2647700","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"35 1","pages":"2647700"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147519725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of high blood pressure and associated risk for all-cause and cardiovascular mortality among US young adults.","authors":"Ming Ying, Kunming Bao, Dongjun Bao, Zhiyuan Wu, Junhao He, Zhidong Huang, Lixin Ye, Wenjun Gu","doi":"10.1080/08037051.2026.2715846","DOIUrl":"https://doi.org/10.1080/08037051.2026.2715846","url":null,"abstract":"<p><p><i>Background:</i> High blood pressure (BP) in young adults is an underrecognised public health issue with potential long-term health consequences, including increased mortality risk. To examine the prevalence of prehypertension among US young adults and assess its association with all-cause and cardiovascular mortality. <i>Methods:</i> This cohort study utilised data from the National Health and Nutrition Examination Survey (NHANES) 1999-2016. Cox proportional hazards (PHs) regression models were used to estimate hazard ratios (HRs) for mortality. The Fine and Gray subdistribution hazard model was applied to account for competing risks in cardiovascular mortality. Population attributable fractions (PAFs) were calculated to assess the mortality burden associated with prehypertension and hypertension in this population. Prehypertension was defined as a systolic BP (SBP) of 120-139 mm Hg or a diastolic BP (DBP) of 80-89 mm Hg. All-cause and cardiovascular mortality were ascertained through linkage to the National Death Index (NDI) (up to 2019). <i>Results:</i> Among 18,271 participants (mean [SE] age, 28.6 [0.1] years; 49.6% female), the design-weighted prevalence was 23.9% for prehypertension and 14.3% for hypertension. Compared with normotensive individuals, the adjusted HRs for all-cause mortality were 1.82 (95% CI, 1.20-2.74) for prehypertension and 2.39 (95% CI, 1.50-3.81) for hypertension. The HRs for cardiovascular mortality were 1.37 (95% CI, 0.45-4.15) for prehypertension and 4.17 (95% CI, 1.51-11.51) for hypertension. The PAFs for all-cause mortality were 15.1% for individuals with prehypertension and 16.5% for those with hypertension. For cardiovascular mortality, the PAFs were 6.0% for prehypertension and 36.7% for hypertension. <i>Conclusions:</i> In this nationally representative cohort, prehypertension and hypertension were common among US young adults and associated with increased all-cause mortality. These findings highlight the need for early detection and management of high BP in young adults to reduce mortality risk.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"35 1","pages":"2715846"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endothelial function in relation to low-level chronic residential air pollution in a general population: a cohort study.","authors":"Zhi-Kai Yang, Dries S Martens, De-Wei An, Hui-Zhong Shi, Yu-Chen Wang, Yu-Ling Yu, Dong-Yan Zhang, Wiktoria Wojciechowska, Marek Rajzer, Katarzyna Stolarz-Skrzypek, Wen-Yi Yang, Yan Li, Stefan Janssens, Peter Verhamme, Tim S Nawrot, Jan A Staessen","doi":"10.1080/08037051.2026.2724736","DOIUrl":"10.1080/08037051.2026.2724736","url":null,"abstract":"<p><strong>Background: </strong>Given the recently updated clean-air targets, this population study assessed endothelial function at low exposure to particulate matter with an aerodynamic diameter of ≤10 µm (PM₁₀) and ≤2.5 µm (PM_2.5), nitrogen dioxide (NO₂) and black carbon (BC).</p><p><strong>Methods: </strong>In 453 Flemish participants (47.7% women; mean age, 52.8 years), endothelial function was assessed by finger photoplethysmography after 5 min of ischaemia. The outcome measures were the maximal ischaemic-to-control ratio (Rmax) and the maximal difference (Dmax) in pulse amplitude between the test and control fingers. The air pollutants were related to Rmax and Dmax using mixed models accounting for coresidence, to cardiovascular endpoints by proportional hazards regression, and to residential address by high-resolution spatiotemporal interpolation.</p><p><strong>Results: </strong>From 2010 to 2015, PM₁₀, PM_2.5, NO₂ and BC decreased (<i>p</i> < 0.0001) with 6-year levels averaging 15.9, 12.8, 14.3 and 1.04 µg/m³. Irrespective of adjustment for risk factors, Dmax was inversely correlated with PM_2.5, while associations of Rmax with PM2.5 and associations of both Dmax and Rmax with other pollutants were weaker (<i>p</i> values <0.10), but consistently inverse. Association sizes of Rmax and Dmax with PM₁₀ and PM_2.5 weakened over 6 years, paralleling the decreasing air pollutants (<i>p</i> ≤ 0.044). In adjusted analyses, the risk of a composite cardiovascular endpoint decreased (<i>p</i> ≤ 0.043) with higher Rmax and Dmax with hazard ratios ranging from 0.31 to 0.49. Finally, in the geographical analysis, endothelial dysfunction followed the spatial gradients in PM_2.5.</p><p><strong>Conclusions: </strong>Long-term low-level air pollution is associated with subclinical endothelial dysfunction, the initial and critical step leading to adverse cardiovascular outcomes.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2724736"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148825209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical inertia in the management of hypertension: a national survey of French general practitioners.","authors":"Jean-Marc Boivin, Dorian Hugnet, Elodie Castelloto, Zohra Lamiral, Michel Burnier, Luca Monzo","doi":"10.1080/08037051.2026.2678687","DOIUrl":"10.1080/08037051.2026.2678687","url":null,"abstract":"<p><strong>Background: </strong>Hypertension remains a leading modifiable cardiovascular risk factor, yet blood pressure (BP) control in France and across Europe remains suboptimal. Although poor patient adherence is frequently cited, physician-related factors, particularly therapeutic inertia, may also contribute substantially. In this national survey, we assessed whether French general practitioners (GPs) have updated their perceptions of BP targets and treatment thresholds in the context of evolving European recommendations.</p><p><strong>Methods: </strong>Between May 2023 and December 2024, a structured questionnaire was administered by telephone to a representative sample of 503 French GPs. The findings were compared with those of a similar survey conducted in 2010 (SHARE study) in order to evaluate temporal changes in physicians' perceptions and clinical attitudes towards hypertension management.</p><p><strong>Results: </strong>Most respondents perceived current BP targets as overly stringent and estimated that most of their patients were adequately controlled. The reported BP thresholds for satisfaction (136/85 mmHg), concern (148/93 mmHg), and therapeutic intervention (166/101 mmHg) were strikingly similar to those observed in 2010, suggesting limited evolution in clinical perceptions despite increasingly stringent guideline recommendations. Younger physicians more frequently prioritised home BP monitoring and adopted lower treatment thresholds, whereas older GPs more commonly preferred office-based measurements and tolerated higher BP levels.</p><p><strong>Conclusions: </strong>The limited evolution in GPs' perceptions over time suggests persistent therapeutic inertia in hypertension management. Targeted strategies to improve adherence to guideline-recommended BP control in this setting appear warranted.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2678687"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148026823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: \"Prevalence and prognostic significance of untreated, uncontrolled and resistant hypertension among American adults with prediabetes\" (Lin et al., <i>Blood Pressure</i>, 2026; DOI: 10.1080/08037051.2026.2698913).","authors":"Garvit Kumar, Shiwangi Garg","doi":"10.1080/08037051.2026.2702685","DOIUrl":"https://doi.org/10.1080/08037051.2026.2702685","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"35 1","pages":"2702685"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smoking status of patients with acute myocardial infarction in recent randomized clinical trials - actions needed.","authors":"Serena Tonstad, Sverre E Kjeldsen","doi":"10.1080/08037051.2026.2631269","DOIUrl":"10.1080/08037051.2026.2631269","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2631269"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146155737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/08037051.2026.2622829","DOIUrl":"10.1080/08037051.2026.2622829","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"35 1","pages":"2622829"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146084064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An unexpected finding of apparent bilateral aldosterone suppression after superselective adrenal venous sampling: a case report.","authors":"Xiaoxi Pan, Yu Ma, Yuanyuan Kang, Pingjin Gao, Jianzhong Xu","doi":"10.1080/08037051.2026.2678033","DOIUrl":"10.1080/08037051.2026.2678033","url":null,"abstract":"<p><strong>Introduction: </strong>In adrenal venous sampling (AVS) for patients with primary aldosteronism (PA), apparent bilateral aldosterone suppression (ABAS) is occasionally experienced, but the underlying causes remain poorly understood.</p><p><strong>Case presentation: </strong>A 40-year-old Chinese man with a right adrenal adenoma presented with hypertension and refractory hypokalaemia. Initial AVS revealed no evidence of unilateral aldosterone excess and demonstrated ABAS. Six months later, repeat AVS was performed, during which two distinct venographic patterns-a 'triangular pattern' and a 'delta pattern'-were observed in the right adrenal vein depending on catheter position. Samples obtained from the main adrenal vein trunk suggested a right-sided source of aldosterone hypersecretion. The patient subsequently underwent right adrenalectomy and achieved both clinical and biochemical remission. Immunohistochemical staining for CYP11B2 confirmed an aldosterone-producing adenoma in the resected nodule.</p><p><strong>Conclusion: </strong>This case highlights a potential pitfall of superselective AVS and demonstrates that different venographic patterns of the right adrenal vein may result from varying catheter positions, which can critically influence diagnostic interpretation.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2678033"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heat waves and hypertension management in Europe. Do we need 'hot day recommendations'?","authors":"Michel Burnier, Krzysztof Narkiewicz","doi":"10.1080/08037051.2026.2677362","DOIUrl":"10.1080/08037051.2026.2677362","url":null,"abstract":"","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":" ","pages":"2677362"},"PeriodicalIF":2.3,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147986481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}