通过24小时监测评估B型急性主动脉夹层患者血压控制不佳的预测因素。
Predictors of poor blood pressure control assessed by 24 hour monitoring in patients with type B acute aortic dissection.
作者信息
Delsart Pascal, Midulla Marco, Sobocinski Jonathan, Achere Charles, Haulon Stephan, Claisse Gonzague, Mounier-Vehier Claire
机构信息
Vascular Medicine and Hypertension Department, Cardiology Hospital, CHRU Lille, France.
出版信息
Vasc Health Risk Manag. 2012;8:23-30. doi: 10.2147/VHRM.S24473. Epub 2012 Jan 10.
UNLABELLED
The chronic management of post-acute aortic dissection (AD) of the descending aorta (Type B) is based on optimal control of blood pressure (BP), with a target BP < 135/80 mmHg. The aim of our study was to determine and verify effective blood pressure control with an objective measurement method and to identify predicting factors.
METHODS
We collected data from 26 patients hospitalized in the acute phase of a Type B AD between 2006 and 2009. Two groups were defined according to 24 hour BP monitoring results at follow-up. Group 1 consisted of patients with a controlled BP (<130/80 mmHg), and Group 2 consisted of patients with an uncontrolled BP.
RESULTS
Thirty four percent of patients showed an uncontrolled BP at checkup. Vascular history before AD (P = 0.06), high baseline BP trend (P = 0.01 for systolic and P = 0.08 for diastolic), and greater diameter of the descending aorta (P = 0.02) were associated with poor BP control.
CONCLUSION
Prognosis after AD is associated with BP control. Therefore, 24 hour BP monitoring can be made.
未标注
降主动脉急性主动脉夹层（AD，B型）的长期管理基于血压（BP）的最佳控制，目标血压<135/80 mmHg。我们研究的目的是通过客观测量方法确定并验证有效的血压控制，并识别预测因素。
方法
我们收集了2006年至2009年期间因B型AD急性期住院的26例患者的数据。根据随访时24小时血压监测结果定义两组。第1组由血压控制良好（<130/80 mmHg）的患者组成，第2组由血压未得到控制的患者组成。
结果
34%的患者在检查时血压未得到控制。AD前的血管病史（P = 0.06）、较高的基线血压趋势（收缩压P = 0.01，舒张压P = 0.08）以及降主动脉直径较大（P = 0.02）与血压控制不佳相关。
结论
AD后的预后与血压控制有关。因此，可以进行24小时血压监测。
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