Karras David J, Ufberg Jacob W, Harrigan Richard A, Wald David A, Botros Maged S, McNamara Robert M
Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Am J Emerg Med. 2005 Mar;23(2):106-10. doi: 10.1016/j.ajem.2004.02.043.
A number of cardiopulmonary and neurological symptoms are presumed to be associated with hypertension. We examined the prevalence of these symptoms in ED patients with elevated blood pressure (BP) and studied the relationship between symptom prevalence and BP value. We enrolled consecutive adult ED patients with sustained BP elevation (systolic BP>or=140 mm Hg, diastolic BP>or=90 mm Hg). BP values were categorized according to Joint National Committee on Prevention, Evaluation, and Treatment of High Blood Pressure, 6th Report criteria. Elevated BP was noted in 551 (29%) of 1908 patients. Unprompted complaints of hypertension-associated symptoms were noted in 26%, and there was no association between BP category and complaints other than dyspnea. Symptom interviews were conducted in 294 (56%) patients; 68% of this subset noted >or=1 current hypertension-associated symptom with no relationship between symptom prevalence and BP category. We conclude that symptoms putatively associated with hypertension are common among ED patients with elevated BP, and their prevalence appears unrelated to BP value.
许多心肺和神经症状被认为与高血压有关。我们调查了血压（BP）升高的急诊患者中这些症状的患病率，并研究了症状患病率与血压值之间的关系。我们纳入了连续的成年急诊患者，这些患者的血压持续升高（收缩压≥140mmHg，舒张压≥90mmHg）。血压值根据美国国家高血压预防、检测、评估与治疗联合委员会第6次报告标准进行分类。1908例患者中有551例（29%）血压升高。26%的患者出现了与高血压相关症状的自发主诉，除呼吸困难外，血压类别与主诉之间没有关联。对294例（56%）患者进行了症状访谈；该亚组中68%的患者出现≥1种当前与高血压相关的症状，症状患病率与血压类别之间没有关系。我们得出结论，在血压升高的急诊患者中，推测与高血压相关的症状很常见，而且其患病率似乎与血压值无关。
