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COVID-19 大流行对血压控制的影响:一项全国性家庭血压监测研究。

Impact of the COVID-19 pandemic on blood pressure control: a nationwide home blood pressure monitoring study.

机构信息

Laboratory of Immunopathology Keizo Asami, Federal University of Pernambuco, Recife, PE, Brazil.

Pronto Socorro Cardiológico de Pernambuco (PROCAPE), University of Pernambuco, Recife, PE, Brazil.

出版信息

Hypertens Res. 2022 Feb;45(2):364-368. doi: 10.1038/s41440-021-00784-1. Epub 2021 Dec 2.

Abstract

There are concerns that hypertension control may decrease during the COVID-19 pandemic. This study evaluated the impact of the COVID-19 pandemic on office blood pressure (OBP) and home blood pressure monitoring (HBPM) control in a large Brazilian nationwide sample. The results of an adjusted spline analysis evaluating the trajectory of OBP and HBPM control from 01/Jan/2019 to 31/Dec/2020 among independent participants who were untreated (n = 24,227) or treated (n = 27,699) with antihypertensive medications showed a modest and transient improvement in OBP control among treated individuals, which was restricted to the early months following the COVID-19 pandemic outbreak. Furthermore, slight reductions in OBP and HBPM values were detected in the early months following the COVID-19 pandemic outbreak among treated (n = 987) participants for whom blood pressure measurements before and during the pandemic were available, but not among untreated (n = 495) participants. In conclusion, we found no major adverse influence of the COVID-19 pandemic on OBP and HBPM control in a large nationwide sample.

摘要

有人担心,在 COVID-19 大流行期间,高血压的控制可能会下降。本研究评估了 COVID-19 大流行对巴西全国范围内大型样本中办公室血压(OBP)和家庭血压监测(HBPM)控制的影响。在一项调整后的样条分析中,评估了从 2019 年 1 月 1 日至 2020 年 12 月 31 日期间,未经治疗(n=24227)或接受降压药物治疗(n=27699)的独立参与者的 OBP 和 HBPM 控制轨迹,结果显示,治疗组的 OBP 控制有适度和短暂的改善,这种改善仅限于 COVID-19 大流行爆发后的早期几个月。此外,在 COVID-19 大流行爆发后的早期几个月,对于有血压测量数据(n=987)的治疗组参与者(n=987),OBP 和 HBPM 值略有下降,但在未经治疗组(n=495)参与者中未发现这种下降。总之,我们在一个大型全国性样本中没有发现 COVID-19 大流行对 OBP 和 HBPM 控制的重大不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ff5/8636576/5bb3546895ee/41440_2021_784_Fig1_HTML.jpg

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