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关于直立性高血压定义的共识声明,得到了美国自主神经学会和日本高血压学会的认可。

Consensus statement on the definition of orthostatic hypertension endorsed by the American Autonomic Society and the Japanese Society of Hypertension.

机构信息

Institute of Aerospace Medicine, German Aerospace Center (DLR), Linder Hoehe, 51147, Cologne, Germany.

Medical Faculty, University of Cologne, Cologne, Germany.

出版信息

Clin Auton Res. 2023 Feb;33(1):69-73. doi: 10.1007/s10286-022-00897-8. Epub 2022 Sep 29.

Abstract

We propose a consensus definition of "an exaggerated orthostatic pressor response" in subjects in whom systolic blood pressure increases ≥ 20 mmHg when going from supine to standing posture. This definition can be extended for seated to standing measurements. We reserve the term "orthostatic hypertension" for when this pressor response leads to an upright systolic blood pressure ≥ 140 mmHg. We believe this consensus definition will help in the study of the pathophysiology, clinical impact, and potential treatment of these entities, and identification of patients who are at greater cardiovascular risk.

摘要

我们提出了一个共识定义,即“体位性血压升高反应过度”,指的是从仰卧位变为站立位时收缩压升高≥20mmHg 的受试者。这个定义可以扩展到坐姿到站立的测量。当这种升压反应导致直立时收缩压≥140mmHg 时,我们保留“体位性高血压”一词。我们相信这个共识定义将有助于研究这些病症的病理生理学、临床影响和潜在治疗方法,并识别出心血管风险较高的患者。

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