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诊室血压变异性与降压药物的关联:J-HOME-Morning 研究。

Associations between visit-to-visit variability in blood pressure measured in the office and antihypertensive drugs: the J-HOME-Morning study.

机构信息

Division of Molecular Epidemiology, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Clin Exp Hypertens. 2013;35(4):285-90. doi: 10.3109/10641963.2013.780070. Epub 2013 Apr 4.

Abstract

The factors associated with visit-to-visit variability in blood pressure (BP) measured in the office between the two visits were identified in 1379 treated hypertensive patients (mean age, 66.1 ± 11.0 y; women, 53.8%). Multivariate regression analysis showed that office BP and visit-to-visit heart rate variability were positively associated with visit-to-visit BP variability, whereas body mass index, duration of antihypertensive medication, and taking amlodipine were negatively associated with visit-to-visit BP variability. Further prospective studies are required to clarify the causal relationships between these factors and visit-to-visit BP variability among treated hypertensive patients.

摘要

在 1379 例接受治疗的高血压患者(平均年龄 66.1 ± 11.0 岁;女性占 53.8%)中,确定了两次就诊期间在诊室测量的血压(BP)变异性与就诊间变异性相关的因素。多变量回归分析显示,诊室 BP 和就诊间心率变异性与就诊间 BP 变异性呈正相关,而体重指数、降压药物治疗持续时间和服用氨氯地平与就诊间 BP 变异性呈负相关。需要进一步的前瞻性研究来阐明这些因素与接受治疗的高血压患者就诊间 BP 变异性之间的因果关系。

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