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血压的“白大褂效应”

["White coat effect" on blood pressure].

作者信息

Prattichizzo F A, Galetta F

机构信息

Unità Operativa di Medicina Interna, San Miniato (Pisa), Azienda USL 11, Empoli.

出版信息

Minerva Cardioangiol. 1996 Nov;44(11):539-43.

PMID:9011835
Abstract

In the past few years non-invasive ambulatory blood pressure monitoring has become a widespread technology in the assessment of arterial hypertension. The "white coat effect" concept derives from comparison between "clinic" and "ambulatory" blood pressure. It consists of two opposite conditions: clinic hypertension with ambulatory normotension (the so-called "white coat hypertension") and clinic normotension with ambulatory hypertension (the so-called "white coat normotension"). Nearly 20% of unselected referred populations shows conditions that may not need medical treatment, such as the "white coat hypertensives", or that may need antihypertensive therapy, such as the "white coat normotensives".

摘要

在过去几年中,无创动态血压监测已成为评估动脉高血压的一项广泛应用的技术。“白大衣效应”这一概念源于“诊室”血压与“动态”血压的比较。它包括两种相反的情况:诊室高血压而动态血压正常(即所谓的“白大衣高血压”)以及诊室血压正常而动态血压高血压(即所谓的“白大衣正常血压假象”)。在未经选择的转诊人群中,近20%的人表现出可能不需要药物治疗的情况,如“白大衣高血压患者”,或可能需要抗高血压治疗的情况,如“白大衣正常血压假象者”。

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