Hypertension:降低舒张压需谨慎,舒张压越低,心血管疾病发病风险可能越高

2018-03-27 MedSci MedSci原创

一直以来,可增加心血管事件的心脏收缩压和舒张压阈值被广泛讨论。Nadia A. Khan等人利用SPRINT(收缩压干预试验)的数据,在1519位发生过心血管事件和7574位既往无心血管事件的受试者中,评估收缩压和舒张压与心血管事件的相关性。研究人员利用Cox回归分析评估心肌梗死、其他急性冠脉综合征、心衰或心源性死亡的复合风险,并将随访收缩压和舒张压作为时间依赖性的协变量进行分析,中位时间3.1年

一直以来,可增加心血管事件的心脏收缩压和舒张压阈值被广泛讨论。Nadia A. Khan等人利用SPRINT(收缩压干预试验)的数据,在1519位发生过心血管事件和7574位既往无心血管事件的受试者中,评估收缩压和舒张压与心血管事件的相关性。

研究人员利用Cox回归分析评估心肌梗死、其他急性冠脉综合征、心衰或心源性死亡的复合风险,并将随访收缩压和舒张压作为时间依赖性的协变量进行分析,中位时间3.1年。并根据年龄、性别、基础收缩压、体重指数、10年Framingham风险评分和估计的肾小球滤过率校正模型。

在有无心血管疾病的患者的两个治疗臂中均观察到J-型的舒张压关联(p≤0.002)。当舒张压降至55mmHg以下时,危险性至少比70mmHg高25%(p=0.29)。与舒张压55-90mmHg相比,舒张压<55mmHg时既往有无心血管疾病的患者的危险比分别为1.68(95% CI 1.16-2.43;p=0.006)和1.52(0.99-2.34;0.06)。

根据随访舒张压校准后,随访收缩压与既往无心血管疾病的人群的预后没有相关性(p=0.64)。而在既往有心血管疾病的人群中,校准舒张压后,随访收缩压与强化臂人群的风险相关(每降低10mmHg,危险比 0.86;95% CI 0.75-0.99;p=0.02)。虽然本研究观察到的J-型关联可能是因为在SPRINT人群中存在反应因果关系,Nadia A. Khan等人还是建议谨慎降低舒张压。

原始出处:

Nadia A. Khan,et al.Effect of Lowering Diastolic Pressure in Patients With and Without Cardiovascular Disease. Hypertersion. March 26,2018.https://doi.org/10.1161/HYPERTENSIONAHA.117.10177

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    2018-03-30 半夏微凉

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    0

  4. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Mar 28 06:59:05 CST 2018, time=2018-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300370, encodeId=3f0d3003e02a, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Mar 28 06:26:07 CST 2018, time=2018-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300323, encodeId=edfe30032302, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Tue Mar 27 23:18:26 CST 2018, time=2018-03-27, status=1, ipAttribution=)]
    2018-03-28 1dd8c52fm63(暂无匿称)

    了解了解.学习学习

    0

  8. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Mar 28 06:59:05 CST 2018, time=2018-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300370, encodeId=3f0d3003e02a, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Mar 28 06:26:07 CST 2018, time=2018-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300323, encodeId=edfe30032302, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Tue Mar 27 23:18:26 CST 2018, time=2018-03-27, status=1, ipAttribution=)]
    2018-03-28 飛歌

    学习了很有用不错

    0

  9. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Tue Mar 27 23:18:26 CST 2018, time=2018-03-27, status=1, ipAttribution=)]
    2018-03-28 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

    0

  10. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Wed Mar 28 06:59:05 CST 2018, time=2018-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300370, encodeId=3f0d3003e02a, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Mar 28 06:26:07 CST 2018, time=2018-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=300323, encodeId=edfe30032302, content=谢谢分享学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4o2XVpJ6449yqDsjibydI5HnJ8MibGxNn4HZiaZib0bdfibbwoz3KQrIyN9AGxq36ZlZRNicYlPfOOWMtwgsajY6mGNFiaPclFdowjD0/0, createdBy=97bd1338592, createdName=清风拂面, createdTime=Tue Mar 27 23:18:26 CST 2018, time=2018-03-27, status=1, ipAttribution=)]
    2018-03-27 清风拂面

    谢谢分享学习

    0

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JAHA:射血分数正常的心力衰竭患者舒张压与不良结局!

由此可见,DBP≥90mmHg和<60mmHg与接受降压治疗的射血分数正常的心衰患者不良预后风险显著相关。需要进一步的研究来确定最佳的DBP目标值,以降低射血分数正常的心力衰竭患者不良事件的风险。

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既往研究显示,舒张压与冠心病及死亡呈J型曲线关系。这种相关性被认为是对舒张压较低时冠状动脉灌注减少的反映。AHA/ASH 2017科学会议上的一项研究旨在评估J型曲线关系是否在伴有冠状动脉钙化的人群中更显着。

J Hypertens:他汀类药物使用对舒张压水平的有利影响!

由此可见,服用他汀类药物与DBP水平显著降低相关。这些效应可以独立观察到,即使在校正心血管危险因素和合并症,以及降压药物的数量。

Circulation:基线舒张压对血压控制强度的影响。

目前,关于在舒张压低(DBP)的患者中,收缩压(SBP)强化降低的潜在益处或风险尚不清楚。近期,一篇发表在杂志Circulation上的文章对这一问题进行了研究。此项收缩期血压干预试验是一项随机对照试验,比较了对9361名高血压老年人进行强度治疗(目标<120 mm Hg))vs. 标准治疗(目标<140 mm Hg)SBP对增加心血管疾病(CVD)风险的影响。主要研究结果是CVD事件