TUhjnbcbe - 2021/8/10 3:44:00
TODAY今日发布JCardiovascMagnResonDec01,:21(1)今日发布01篇（共计40篇）BMCCardiovascDisordDec01,:19(1)今日发布01篇（共计篇）CardiovascDiabetolDec01,:18(1)今日发布01篇（共计91篇）JournalofCongenitalCardiologyDec01,:3(1)今日发布01篇（共计06篇）CurrTreatOptionsCardiovascMedAug01,:21(8)今日发布02篇（共计06篇）JAHAJuly16,:8(14)今日发布02篇（共计32篇）HighBloodPressCardiovascPrevEarlyRecent,July15,今日发布01篇PediatricCardiologyEarlyRecent,July15,今日发布01篇JNuclCardiolEarlyRecent,July15,今日发布02篇JACCCardiovascIntervJuly22,:12(14),-今日发布24篇CirculationJuly16,:(3)今日发布14篇（共计18篇）IntJCardiovascImagingEarlyRecent,July16,今日发布01篇JIntervCardElectrophysiolEarlyRecent,July16,今日发布01篇RECOMMEND推荐阅读01强化和标准临床高血压管理对SPRINT中临床与动态血压和血压变异性的一致性的影响JAHAresearch-articleLamaGhazi,NicholasM.Pajewski,etc.6小时前等2用户推荐阅读本文BackgroundBloodpressure(BP)variesovertimewithinindividualpatientsandacrossdifferentBPmeasurementtechniques.TheeffectofdifferentBPtargetsonconcordancebetweenBPmeasurementsisunknown.Thegoalsofthisanalysisaretoevaluateconcordancebetween(1)clinicandambulatoryBP,(2)clinicvisit‐to‐visitvariabilityandambulatoryBPvariability,and(3)firstandsecondambulatoryBPandtoevaluatewhetherdifferentclinictargetsaffecttheserelationships.血压（bp）随着时间的推移在个体患者和不同的bp测量技术中发生变化。不同的BP目标对BP测量一致性的影响尚不清楚。本分析的目的是评估（1）门诊和门诊血压之间的一致性，（2）门诊访视变异性和门诊血压变异性，（3）第一和第二门诊血压之间的一致性，并评估不同的门诊目标是否影响这些关系。MethodsandResultsTheSPRINT(SystolicBloodPressureInterventionTrial)ambulatoryBPmonitoringancillarystudyobtainedambulatoryBPreadingsinparticipantsatthe27‐monthfollow‐upvisitandobtainedasecondreadinginparticipants±84daysafterward.TherewasconsiderablelackofagreementbetweenclinicanddaytimeambulatorysystolicBPwithwidelimitsofagreementinBland‐Altmanplotsof?21to34mmHgintheintensive‐treatmentgroupand?26to32mmHginthestandard‐treatmentgroup.Overall,therewaspooragreementbetweenclinicvisit‐to‐visitvariabilityandambulatoryBPvariabilitywithcorrelationcoefficientsforsystolicanddiastolicBPall0.16.WeobservedahighcorrelationbetweenfirstandsecondambulatoryBP;however,thelimitsofagreementwerewideinboththeintensivegroup(?27to21mmHg)andthestandardgroup(?23to20mmHg).SPRINT（收缩压干预试验）动态血压监测辅助研究在27个月随访中获得名受试者的动态血压读数，并在±84天后获得名受试者的第二次读数。临床和日间动态收缩压之间缺乏一致性，在强化治疗组-21-34mmHg和标准治疗组-26-32mmHg的Bland-Altman图中有广泛的一致性限制。总的来说，临床访视变异性和动态血压变异性之间的一致性较差，收缩压和舒张压的相关系数均小于0.16。我们观察到第一个和第二个动态血压之间有很高的相关性；然而，在强化组（-27到21mmhg）和标准组（-23到20mmhg）中，一致性的界限都很宽。ConclusionsWefoundlowconcordanceinBPandBPvariabilitybetweenclinicandambulatoryBPandsecondambulatoryBP.Resultsdidnotdifferbytreatmentarm.TheseresultsreinforcetheneedformultipleBPmeasurementsbeforeclinicaldecisionmaking.我们发现门诊和门诊血压和第二门诊血压之间的血压和血压变异性低一致。治疗组的结果无差异。这些结果加强了在临床决策前进行多个血压测量的必要性。扫描