|本期目录/Table of Contents|

[1]王晓明,张怡楠,曾军,等.老年原发性高血压患者餐后低血压与缺血性 脑卒中相关性研究[J].国际心血管病杂志,2023,02:121-124,128.
 WANG Xiaoming,ZHANG Yinan,ZENG Jun,et al.Relationship between postprandial hypotension and ischemic stroke in elderly patients with essential hypertension[J].International Journal of Cardiovascular Disease,2023,02:121-124,128.
点击复制

老年原发性高血压患者餐后低血压与缺血性 脑卒中相关性研究(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2023年02期
页码:
121-124,128
栏目:
临床研究
出版日期:
2023-03-20

文章信息/Info

Title:
Relationship between postprandial hypotension and ischemic stroke in elderly patients with essential hypertension
作者:
王晓明张怡楠曾军李宙童王一波
200011 上海交通大学医学院附属第九人民医院黄浦分院心内科(王晓明,曾军,李宙童,王一波),药剂科(张怡楠)
Author(s):
WANG Xiaoming1 ZHANG Yinan2 ZENG Jun1 LI Zhoutong1 WANG Yibo1.
1. Department of Cardiology, Huangpu Branch of Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011; 2. Department of Pharmacy, Huangpu Branch of Ninth People′s Hospital, Shanghai Jiao Tong University, School of Medic
关键词:
老年原发性高血压餐后低血压缺血性脑卒中
Keywords:
Elderly Essential hypertension Postprandial hypotension Ischemic stroke
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2023.02.015
文献标识码:
-
摘要:
目的:探讨老年原发性高血压患者餐后低血压(PPH)与缺血性脑卒中的相关 性。 方法:纳入2020 年1 月至2021 年3 月于心内科住院治疗的180 例老年原发性高血压 患者。24 h 动态血压监测仪监测患者24 h 血压,记录患者午餐前,餐后即刻,餐后30、60、 90 和120 min 连续6 次血压,以最低血压值作为餐后血压。根据PPH 诊断标准,患者分为 PPH 组(n=95)和非餐后低血压(NPPH)组(n=85)。 结果:在180 例患者中,PPH 组 缺血性脑卒中87 例(91.6%),N
Abstract:
Objective: To evaluate the relationship between postprandial hypertension and ischemic stroke in elderly patients with essential hypertension. Methods: A total of 180 elderly patients with essential hypotension who were hospitalized in the Department of C

参考文献/References

[1] Zanasi A, Tincani E, Evandri V, et al. Meal-induced blood pressure variation and cardiovascular mortality in ambulatory hypertensive elderly patients: preliminary results[J]. J Hypertens, 2012, 30(11):2125-2132.
[2] Luciano GL, Brennan MJ, Rothberg MB. Postprandial hypotension[J]. Am J Med, 2010, 123(3):281.
[3] Madden KM, Feldman B, Meneilly GS. Blood pressure measurement and the prevalence of postprandial hypotension[J]. Clin Invest Med, 2019, 42(1):E39-E46.
[4] Ikenouchi H, Yoshimoto T, Ihara M. Postprandial cerebral infarction[J]. J Clin Neurosci, 2021, 94:38-40.
[5] Jansen RW, Lipsitz LA. Postprandial hypotension: epidemiology, pathophysiology, and clinical management[J]. Ann Intern Med, 1995, 122(4):286-295.
[6] Alfie J. Utility of home blood pressure monitoring to evaluate postprandial blood pressure in treated hypertensive patients[J]. Ther Adv Cardiovasc Dis, 2015, 9(4):133-139.
[7] Aronow WS, Ahn C. Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents[J]. J Am Geriatr Soc, 1997, 45(9):1051-1053.
[8] Jansen RW, Kelly-Gagnon MM, Lipsitz LA. Intraindividual reproducibility of postprandial and orthostatic blood pressure changes in older nursing-home patients: relationship with chronic use of cardiovascular medications[J]. J Am Geriatr Soc, 1996, 44(4):383-389.
[9] Peitzman SJ, Berger SR. Postprandial blood pressure decrease in well elderly persons[J]. Arch Intern Med, 1989, 149(2):286- 288.
[10] Lagro J, Laurenssen NCW, Schalk BWM, et al. Diastolic blood pressure drop after standing as a clinical sign for increased mortality in older falls clinic patients[J]. J Hypertens, 2012, 30(6):1195-1202.
[11] Puisieux F, Bulckaen H, Fauchais AL, et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly persons with falls or syncopes[J]. J GerontolA Biol Sci Med Sci, 2000, 55(9):M535-M540.
[12] Vloet LCM, Pel-Little RE, Jansen PAF, et al. High prevalence of postprandial and orthostatic hypotension among geriatric patients admitted to Dutch hospitals[J]. J GerontolA Biol Sci Med Sci, 2005, 60(10):1271-1277.
[13] Fisher AA, Davis MW, Srikusalanukul W, et al. Postprandial hypotension predicts all-cause mortality in older, low-level care residents[J]. J Am Geriatr Soc, 2005, 53(8):1313-1320.
[14] 王路宏. 老年人餐后低血压与眩晕发生的相关性分析[J]. 中 国医学创新, 2011, 8(29):131-132.
[15] 童迪夷, 方宁远. 餐后低血压[J]. 中华高血压杂志, 2014, 10(22):987-990.
[16] Carteron L, Taccone FS, Oddo M. How to manage blood pressure after brain injury?[J]. Minerva Anestesiol, 2017, 83(4):412-421.
[17] 丁晓宇, 钱宗杰. 高血压病患者血压变异性与靶器官损伤关 系的研究进展[J]. 中国医药导报, 2017, 14(15):35-38.
[18] Furukawa KZ, Suzuki T, Ishiguro H, et al. Prevention of postprandial hypotension-related syncope by caffeine in a patient with long-standing diabetes mellitus[J]. Endocr J, 2020, 67(6):585-592.
[19] Trahair LG, Vanis L, Gentilcore D, et al. Effects of variations in duodenal glucose load on blood pressure, heart rate, superior mesenteric artery blood flow and plasma noradrenaline in healthy young and older subjects[J]. Clin Sci (Lond), 2012, 122(6):271-279.
[20] Wang BQ, Zhao JN, Zhan QX, et al. Acarbose for postprandial hypotension with glucose metabolism disorders: a systematic review and meta-analysis[J]. Front Cardiovasc Med, 2021, 8:663635.
[21] Qiao W, Li J, Li Y, et al. Acarbose, the α-glucosidase inhibitor, attenuates the blood pressure and splanchnic blood flow responses to meal in elderly patients with postprandial hypotension concomitant with abnormal glucose metabolism[J]. Blood Press Monit, 2016, 21(1):38-42.

备注/Memo

备注/Memo:
基金项目:2018 年黄浦区卫生健康系统科研项目(HKM201809) 通信作者:王一波, E-mail:eboo1978@aliyun.com
更新日期/Last Update: 2023-03-20