the-dilemma-of-nocturnal-blood-pressure-夜间血压的窘境.pptVIP

The first affiliated hospital of STUMC The first affiliated hospital of STUMC The dilemma of nocturnal blood pressure J Clin Hypertens (Greenwich). 2012;14:787–791. 徐坦 100s:Riva-Rocci and Korotkoff, conventional blood pressure monitoring. 40s: ABPM, it is generally accepted that ABPM estimates ‘‘true’’ mean BP and has better correlation with end-organ damage and cardiovascular outcomes. (New England Journal of Medicine) 24: The dipping phenomenon was first coined by O’Brien and colleagues. Nondipping has been considered an abnormal diurnal rhythm, which is associated with greater cardiovascular and cerebrovascular diseases. (lancet) Introduction 2011: NBP levels rather than circadian BP pattern are more accurate in predicting mortality and morbidity related to BP, independent of mean BP and daytime BP levels. 2007: isolated nocturnal hypertension as a potentially novel clinical entity derived from a Chinese population study was examined by Li and colleagues. 10.5% Introduction Introduction 指南的更新 指南问世 临床研究 个人经验 100S CBPM 40S ABPM 24 dipping phenomenon 07 INH 1.Methods for monitoring NBP; 2.Accurate period of nocturnal time; 3.Diagnostic thresholds of abnormal NBP; 4.whether to control abnormal NBP; 5.how to manage abnormal NBP. Dilemma Methods for monitoring NBP ABPM provides the following three types of information Mean BP level; The diurnal rhythm of BP; BP variability. This fully automatic and theoretical non-sleep disturbance technique is also an ideal method to monitor NBP. a golden standard for NBP measurement (2006) Methods for monitoring NBP ABPM has its own vital limitations: Sonorous stimuli: disturb sleep, the correlation between NBP and TOD ABPM is not commonly employed in routine clinical practice for evaluating NBP Methods for monitoring NBP Fully automatic home BP devices Manual BP device It is important to recognize that an exact and practical method for the measurement of NBP is essential. Accurate period of nocturnal time There has