在选定的精神药物治疗期间血压升高的风险

Pub Date : 2021-07-13 DOI:10.5603/AH.A2021.0015
Monika Romańczyk, S. Surma, Beata Kocyan, Karolina Klos, Wiktoria Strona, M. Krzystanek
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引用次数: 0

摘要

动脉高血压是普通人群中最常见的心血管危险因素。动脉高血压导致的死亡率增加影响所有种族和年龄,包括那些有精神障碍的人。大多数动脉高血压患者都患有原发性高血压。本文旨在分析精神科药物对血压的影响。要分析的文章是通过Medline数据库中的PubMed搜索引擎,使用单个药物或一组精神药物的名称、AND运算符和“高血压”或“血压”或“心血管系统”等词选择的。然后选取文章,选取36篇参考文献进行分析。精选文章于2020年12月24日存档。许多有可能升高血压的药物被用来治疗精神疾病。这些药物包括文拉法辛、米那西普兰、安非他酮、艾氯胺酮、第一代和第二代抗精神病药、三环抗抑郁药和精神兴奋剂。对于使用可能使血压升高的精神药物的患者,应注意在治疗过程中监测血压。
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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The risk of a blood pressure increase during treatment with selected psychotropic drugs
Arterial hypertension is the most common cardiovascular risk factor in the general population. Increased mortality from arterial hypertension affects all ethnicities and ages, including those with mental disorders. Most people with arterial hypertension suffer from the primary form of the disease. The aim of this article was to analyze the influence of psychiatric drugs on blood pressure. The articles for analysis were selected via the PubMed search engine in the Medline database using the names of individual drugs or a group of psychotropic drugs, the AND operator and the words "hypertension" or "blood pressure" or "cardiovascular system". The articles were then selected and 36 references were selected for analysis. Selected articles were archived on December 24, 2020. Many medications with the potential to increase blood pressure are used to treat mental illness. These include venlafaxine, milnacipran, bupropion, esketamine, 1st and 2nd generation antipsychotics, tricyclic antidepressants and psychostimulants. In patients using psychotropic drugs that may increase blood pressure, attention should be paid to monitoring it during treatment.
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