血压变异性。对抗高血压治疗的影响。

IF 1.3 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
A. de la Sierra
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引用次数: 0

摘要

血压在不同时间尺度上的波动,即血压变异性,已成为科学界日益关注的焦点。血压变异性可以长期测量(季节性变异性或每次访问)、中期测量(连续几天或几周)或短期测量(昼夜差异或由其他日常活动和条件引起的变化)。长期、中期或短期血压变异性的增加与心血管预后不良相关,与血压升高的程度无关。关于不同降压治疗对这种变异性的影响的证据很少,但一些观察性和介入性研究表明,降低血压变异性,间接地增加治疗范围内的时间,对心血管预后有有益的影响。持续时间较长的抗高血压药物,特别是一些钙通道阻滞剂,可能是一种优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Blood pressure variability. Impact on antihypertensive treatment
Blood pressure oscillations during different time scales, known as blood pressure variability, have become a focus of growing scientific interest. Blood pressure variability can be measured at long-term (seasonal variability or visit-to-visit), at mid-term (consecutive days or weeks) or at short-term (day-night differences or changes induced by other daily activities and conditions). An increased blood pressure variability, either at long, mid, or short-term is associated with a poor cardiovascular prognosis independently of the amount of blood pressure elevation. There is scarce evidence on the effect of different antihypertensive treatments on such variability, but some observational and interventional studies suggest that reduction in blood pressure variability, and indirectly, increase of the time in therapeutic range, has a beneficial effect on cardiovascular prognosis. Antihypertensive drugs with a longer duration, and specifically, some calcium channel blockers, might represent an advantage.
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来源期刊
Hipertension y Riesgo Vascular
Hipertension y Riesgo Vascular Medicine-Internal Medicine
CiteScore
1.70
自引率
16.70%
发文量
38
审稿时长
39 days
期刊介绍: La mejor publicación para mantenerse al día en los avances de la lucha contra esta patología. Incluye artículos de Investigación, Originales, Revisiones, Casos clínicos, Aplicación práctica y Resúmenes comentados a la bibliografía internacional. Además, es la Publicación Oficial de la Sociedad española de Hipertensión-Liga Española para la Lucha contra la Hipertensión Arterial.
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