夜间血压的窘境.pptx

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2024-04-15 发布于湖北
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夜间血压的窘境.pptx

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夜间血压窘境夜间血压的窘境第1页

100s:Riva-RocciandKorotkoff,conventionalbloodpressuremonitoring.40s:ABPM,itisgenerallyacceptedthatABPMestimates‘‘true’’meanBPandhasbettercorrelationwithend-organdamageandcardiovascularoutcomes.(NewEnglandJournalofMedicine)24:ThedippingphenomenonwasfirstcoinedbyO’Brienandcolleagues.Nondippinghasbeenconsideredanabnormaldiurnalrhythm,whichisassociatedwithgreatercardiovascularandcerebrovasculardiseases.(lancet)IntroductionThefirstaffiliatedhospitalofSTUMC夜间血压的窘境第2页

:NBPlevelsratherthancircadianBPpatternaremoreaccurateinpredictingmortalityandmorbidityrelatedtoBP,independentofmeanBPanddaytimeBPlevels.:isolatednocturnalhypertensionasapotentiallynovelclinicalentityderivedfromaChinesepopulationstudywasexaminedbyLiandcolleagues.10.5%IntroductionThefirstaffiliatedhospitalofSTUMC夜间血压的窘境第3页

Introduction指南更新指南问世临床研究个人经验100SCBPM40SABPM24dippingphenomenon07INHThefirstaffiliatedhospitalofSTUMC夜间血压的窘境第4页

1.MethodsformonitoringNBP;2.Accurateperiodofnocturnaltime;3.DiagnosticthresholdsofabnormalNBP;4.whethertocontrolabnormalNBP;5.howtomanageabnormalNBP.DilemmaThefirstaffiliatedhospitalofSTUMC夜间血压的窘境第5页

MethodsformonitoringNBPABPMprovidesthefollowingthreetypesofinformationMeanBPlevel;ThediurnalrhythmofBP;BPvariability.Thisfullyautomaticandtheoreticalnon-sleepdisturbancetechniqueisalsoanidealmethodtomonitorNBP.agoldenstandardforNBPmeasurement()ThefirstaffiliatedhospitalofSTUMC夜间血压的窘境第6页

MethodsformonitoringNBPABPMhasitsownvitallimitations:Sonorousstimuli:disturbsleep,thecorrelationbetweenNBPandTODABPMisnotcommonlyemployedinroutineclinicalpracticeforevaluatingNBPThefirstaffiliatedhospitalofSTUMC夜间血压的窘境第7页

MethodsformonitoringNBPFullyautomatichomeBPdevicesManualBPdeviceItisimportanttorecognizethatanexactandpracticalme

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