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体位性直立性心动过速综合征、自主神经功能障碍患者与对照组的动态血压监测比较。

Comparison of ambulatory blood pressure monitoring among patients with postural orthostatic tachycardia syndrome, autonomic dysfunction, and controls.

作者信息

Bach Megan, Kassab Joseph, Mohamed Hassan Ahmed, Kodur Nandan, Laffin Luke J

机构信息

Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.

Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.

出版信息

J Hum Hypertens. 2025 Jul;39(7):534-536. doi: 10.1038/s41371-025-01031-7. Epub 2025 May 30.

DOI:10.1038/s41371-025-01031-7
PMID:40447740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12343291/
Abstract

The utility of ambulatory blood pressure monitoring (ABPM) among patients with various forms of autonomic dysfunction (AD) is unknown. Twenty-four-hour ABPM among patients with postural orthostatic tachycardia syndrome (POTS), AD without POTS, and control patients without AD were compared. Patients with AD without POTS had high rates of uncontrolled blood pressure (76%), whereas 19% of patients with POTS had uncontrolled blood pressure, suggesting ABPM may provide less value among patients with POTS.

摘要

动态血压监测(ABPM)在各种形式自主神经功能障碍(AD)患者中的效用尚不清楚。对体位性直立性心动过速综合征(POTS)患者、无POTS的AD患者和无AD的对照患者进行了24小时ABPM比较。无POTS的AD患者血压控制不佳的比例较高(76%),而POTS患者中19%血压控制不佳,这表明ABPM在POTS患者中的价值可能较低。

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本文引用的文献

1
Postural Orthostatic Tachycardia Syndrome: JACC Focus Seminar.体位性心动过速综合征:美国心脏病学会焦点研讨会。
J Am Coll Cardiol. 2019 Mar 19;73(10):1207-1228. doi: 10.1016/j.jacc.2018.11.059.
2
Autonomic Nervous System Dysfunction: JACC Focus Seminar.自主神经系统功能障碍:美国心脏病学会焦点研讨会
J Am Coll Cardiol. 2019 Mar 19;73(10):1189-1206. doi: 10.1016/j.jacc.2018.12.064.
3
Consensus statement on the definition of neurogenic supine hypertension in cardiovascular autonomic failure by the American Autonomic Society (AAS) and the European Federation of Autonomic Societies (EFAS) : Endorsed by the European Academy of Neurology (EAN) and the European Society of Hypertension (ESH).美国自主神经科学学会(AAS)和欧洲自主神经科学学会联合会(EFAS)关于心血管自主神经衰竭中神经源性仰卧位高血压定义的共识声明:得到欧洲神经病学学会(EAN)和欧洲高血压学会(ESH)的认可。
Clin Auton Res. 2018 Aug;28(4):355-362. doi: 10.1007/s10286-018-0529-8. Epub 2018 May 15.