白大衣高血压可能的心血管风险:更新。

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Steven G Chrysant
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引用次数: 1

摘要

白大褂高血压(White-coat hypertension, WCH)被定义为在医生办公室内血压升高,而在办公室外通过24小时动态血压监测(ABPM)或家庭血压测量血压正常。它是由于害怕和焦虑是否能发现一个异常值并提示高血压的存在而产生的。当第一次被描述时,它被定义为一种神经防御反应,与医生在办公室或诊所的存在有关,并与心率增加有关。最初,它被认为是一种良性疾病,与高血压介导的器官损害(HMOD)无关,不需要治疗。然而,最近的研究表明,WCH不是一种良性疾病,它与HMOD和心血管事件(CVE)有关。根据最近的ACC/AHA指南,办公室外的正常血压应该是
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Possible cardiovascular risks of white coat hypertension: updated.

White-coat hypertension (WCH) has been defined as an increased blood pressure (BP) in the doctor's office and a normal BP outside the office by 24 hr ambulatory BP monitoring (ABPM) or home BP measurement. It is generated by fear and anxiety of whether an abnormal value could be found and indicate the existence of hypertension. When first described, it was defined as a neuro-defense reaction related to the presence of the doctor in their office or clinic and associated with an increase in heart rate. Initially it was considered a benign condition, not associated with the hypertension mediated organ damage (HMOD) and not requiring treatment. However, recent studies have shown that WCH is not a benign condition and is associated with HMOD and cardiovascular (CV) events (CVE). According to recent ACC/AHA guidelines, the outside of office normal BP should be < 130/80 mmHg and according to the ESC/ESH guidelines, the outside of office normal BP should be < 135/85 mmHg. The prevalence of WCH varies by different studies from 15% to 40% and up to 50% in older subjects. Currently, the management of WCH if not associated with CV risk factors should be conservative with healthy lifestyle changes and exercise. Drug therapy should be considered if these measures do not work or in the presence of CV risk factors, HMOD, or preexisting cardiovascular disease.

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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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