研究提示,对某些病人而言,不是血压越低越好

来源: 2019-03-13 06:34:55 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (4632 bytes)

Association of systolic blood pressure as categorical variable with the risk of all-cause mortality. Hazard ratios and 95% confidence intervals of the association between different ranges of systolic blood pressure and the risk of all-cause mortality (reference: 140 mmHg), adjusted for age, sex, body mass index, smoking, alcohol consumption, physical exercise, duration of treated hypertension, glomerular filtration rate, albuminuria, previous myocardial infarction, previous stroke, diabetes mellitus, and number of classes of antihypertensive drugs.

Lower Blood Pressure May Not Benefit Certain Patients, Study Suggests

Among patients ≥70 years of age treated with antihypertensive drugs, those treated to achieve a blood pressure target <140/90 mm Hg had a 26% higher risk of death over those treated less aggressively (60.3 vs. 48.5 per 1000/year). Elevated risks were observed in patients ≥80 years of age (102.2 vs. 77.5 per 1000/year, a 40% higher risk) and with previous cardiovascular events (98.3 vs. 63.6 per 1000/year, a 61% higher risk) but not in patients 70–79 years of age or without previous cardiovascular events. Among 1628 patients in the European Heart Journal study, 636 were treated to achieve a blood pressure target of <140/90 mm Hg. During 8853 person-years of follow-up, 469 patients died.

 

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这个还要研究? 有个正常范围, 高了低了都不好... -桃花好运- 给 桃花好运 发送悄悄话 桃花好运 的个人群组 (0 bytes) () 03/13/2019 postreply 08:00:14

是的,总得有点事做嘛 -吃与活- 给 吃与活 发送悄悄话 吃与活 的博客首页 吃与活 的个人群组 (142 bytes) () 03/13/2019 postreply 10:08:33

是指药物降压。用药物降到正常范围一般就意味着有些时段是已被降到低血压。和药物降血糖一样的。 -虎嗅蔷薇- 给 虎嗅蔷薇 发送悄悄话 虎嗅蔷薇 的个人群组 (0 bytes) () 03/13/2019 postreply 10:35:49

还是你说的清楚 -吃与活- 给 吃与活 发送悄悄话 吃与活 的博客首页 吃与活 的个人群组 (0 bytes) () 03/13/2019 postreply 10:47:39

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