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诊断血管变异异常,不仅仅是杓型高血压。

Diagnosing vascular variability anomalies, not only MESOR-hypertension.

机构信息

University of Minnesota Academic Health Center, Minneapolis, MN 55455, USA.

出版信息

Am J Physiol Heart Circ Physiol. 2013 Aug 1;305(3):H279-94. doi: 10.1152/ajpheart.00212.2013. Epub 2013 May 24.

Abstract

Chronobiology is the study of biological rhythms. Chronomics investigates interactions with environmental cycles in a genetically coded autoresonance of the biosphere with wrangling space and terrestrial weather. Analytical global and local methods applied to human blood pressure records of around-the-clock measurements covering decades detect physiological-physical interactions, a small yet measurable response to solar and terrestrial magnetism. The chronobiological and chronomic interpretation of ambulatory blood pressure monitoring (C-ABPM) records in the light of time-specified reference values derived from healthy peers matched by sex and age identify vascular variability anomalies (VVAs) for an assessment of cardio-, cerebro-, and renovascular disease risk. Even within the conventionally accepted normal range, VVAs have been associated with a statistically significant increase in risk. Long-term C-ABPM records help to "know ourselves," serving for relief of psychological and other strain once transient VVAs are linked to the source of a load, prompting adjustment of one's lifestyle for strain reduction. Persistent circadian VVAs can be treated, sometimes by no more than a change in timing of the daily administration of antihypertensive medication. Circadian VVA assessment is an emergency worldwide, prompted in the United States by 1,000 deaths per day every day from problems related to blood pressure. While some heads of state met under United Nation and World Health Organization sponsorship to declare that noncommunicable diseases are a slow-motion disaster, a resolution has been drafted to propose C-ABPM as an added tool complementing purely physical environmental monitoring to contribute also to the understanding of social and natural as well as personal cataclysms.

摘要

时间生物学是研究生物节律的学科。时间生物学研究了生物与环境周期的相互作用,即生物圈与空间和地球天气的遗传编码自共振。应用于涵盖数十年的 24 小时测量的人类血压记录的全球和局部分析方法,检测到生理物理相互作用,即对太阳和地磁的微小但可测量的反应。根据健康同龄同性别者的时间特定参考值对动态血压监测(C-ABPM)记录进行的时间生物学和时间生物学解释,可以识别血管变异性异常(VVAs),以评估心血管、脑和肾血管疾病风险。即使在传统上可接受的正常范围内,VVAs 也与风险的统计学显著增加相关。长期 C-ABPM 记录有助于“了解自己”,一旦短暂的 VVAs 与负荷的来源相关联,就可以缓解心理和其他压力,促使调整生活方式以减轻压力。持续性昼夜节律 VVAs 可以得到治疗,有时只需改变每日服用降压药物的时间即可。昼夜节律 VVA 评估在全球范围内都是紧急情况,美国每天有 1000 人因与血压相关的问题而死亡,这促使人们采取了行动。虽然一些国家元首在联合国和世界卫生组织的赞助下开会宣布非传染性疾病是一场缓慢发生的灾难,但已经起草了一项决议,提议将 C-ABPM 作为一种附加工具,补充纯粹的物理环境监测,以帮助人们理解社会、自然以及个人灾难。

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