Superiority of 24-hour measurement of blood pressure over clinic values in determining prognosis in hypertension.
Superiority of 24-hour measurement of blood pressure over clinic values in determining prognosis in hypertension.
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24 小时血压测量在确定高血压预后方面优于临床值。
DOI：
10.3109/10641968509073547
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发表时间：
1985
期刊：
影响因子：
--
通讯作者：
E. Raftery
中科院分区：
文献类型：
--
作者：
S. Mann;M. Craig;E. Raftery
考虑到已知的不准确性和变异性，从逻辑上可以预期，个体血压的长期记录比临床记录的值具有更大的预后能力。Perloff及其同事1在一个大型系列研究中证明了这一特点。24小时曲线的特定成分可能比其他成分具有更大的预后能力，一些人2认为“基础”血压（通常等同于夜间休息值）比在其他时间标准化程度较低的活动期间记录的血压具有更大的预测价值。一天中的时间。另一个假设是，当作为整体指数3或作为特定分量（如清晨血压升高的斜率4）测量时，高固有血压变异性可能在确定心血管病理学方面发挥独立作用。
Long-term recordings of blood pressure in an individual could logically be expected to have greater prognostic power than values recorded in the clinic in view of the known inaccuracies and variability of the latter. This feature has been shown to be true in a large series investigated by Perloff and colleagues1. Specific components of the 24h profile may have greater prognostic power than others, ‘basal’ blood pressure (generally equated with night-time resting values) has been thought by some2 to have greater predictive value than that recorded during less standardised activity at other times of day. A further hypothesis is that high intrinsic blood pressure variability may play an independent role in determining cardiovascular pathology when measured either as a global index3 or as a specific component such as the slope of the early morning rise in pressure4.