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青少年的血压变异性、高血压前期和高血压

Blood pressure variability, prehypertension, and hypertension in adolescents.

作者信息

Batisky Donald L

机构信息

Emory Children's Center, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Adolesc Health Med Ther. 2012 May 7;3:43-50. doi: 10.2147/AHMT.S15942. eCollection 2012.

Abstract

Medical conditions diagnosed during adolescence may have long term impacts on the health of an individual. As a result, identifying cardiovascular risk factors earlier in life such as prehypertension (pre-HTN) and hypertension (HTN) can have significant benefits across an individual's lifespan. Diagnosing elevated blood pressure (BP) during adolescence can be difficult, partially due to the natural variability that occurs during this period of life. Levels of BP that define adolescent prehypertension/hypertension are provided as well as an abridged review of BP variability across research groups. Strategies for BP management of adolescents are considered, with the primary focus on nonpharmacologic interventions.

摘要

青春期诊断出的疾病可能会对个体健康产生长期影响。因此,在生命早期识别心血管危险因素,如高血压前期(pre-HTN)和高血压(HTN),在个体的一生中会带来显著益处。在青春期诊断血压升高(BP)可能很困难,部分原因是在此生命阶段会出现自然波动。文中提供了定义青少年高血压前期/高血压的血压水平,以及对各研究组血压波动情况的简要综述。文中还探讨了青少年血压管理策略,主要侧重于非药物干预措施。

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本文引用的文献

1
Obesity hypertension in adolescents: epidemiology, evaluation, and management.青少年肥胖相关性高血压:流行病学、评估与管理。
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Dietary therapy in hypertension.高血压的饮食疗法
N Engl J Med. 2010 Jun 3;362(22):2102-12. doi: 10.1056/NEJMct0911013.
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Clin Sci (Lond). 2010 May 14;119(4):151-61. doi: 10.1042/CS20090544.
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Semin Nephrol. 2009 Jul;29(4):379-88. doi: 10.1016/j.semnephrol.2009.03.014.
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Hypertension in the young: epidemiology, sequelae and therapy.青年高血压:流行病学、后遗症与治疗
Nephrol Dial Transplant. 2009 Feb;24(2):370-5. doi: 10.1093/ndt/gfn597. Epub 2008 Nov 7.

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