神经源性直立性低血压患者仰卧位高血压治 疗的科学声明

2021-02-01 北京大学人民医院 临床心电学杂志 发表于上海

仰卧位高血压的个体化管理需要整合多项数据,包括更精确的心血管风险评估,治疗效果,安全性,以及造成自主神经功能衰竭的潜在病因的预后。

中文标题:

神经源性直立性低血压患者仰卧位高血压治 疗的科学声明

发布机构:

北京大学人民医院

发布日期:

2021-02-01

简要介绍:

仰卧常见于自主衰竭所致患者仰卧进直从而影响患者的生的相关研究以及自主衰竭相关的研究仰卧患者可能更患心血管疾研究仰卧提供了理仰卧疗,无论方法加重起床时的,并可能导致相关的并发症目前仍需要多的研究仰卧血管血管和病发病率死亡率的有影响仰卧管理需要整项数据,包括的心血管风险评估效果,以及自主衰竭

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class="fontstyle5">所致</span><span class="fontstyle2">的</span><span class="fontstyle7">神</span><span class="fontstyle4">经</span><span class="fontstyle6">源</span><span class="fontstyle3">性</span><span class="fontstyle6">直</span><span class="fontstyle8">立</span><span class="fontstyle3">性</span><span class="fontstyle6">低</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">患者</span><span class="fontstyle9">。</span><span class="fontstyle0">仰卧</span><span class="fontstyle1">位</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle7">促</span><span class="fontstyle6">进</span><span class="fontstyle0">夜</span><span class="fontstyle5">间</span><span class="fontstyle10">钠</span><span class="fontstyle11">排</span><span class="fontstyle7">泄</span><span class="fontstyle2">,</span><span class="fontstyle7">促</span><span class="fontstyle6">进直</span><span class="fontstyle8">立</span><span class="fontstyle3">性</span><span class="fontstyle6">低</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">的</span><span class="fontstyle6">形</span><span class="fontstyle3">成</span><span class="fontstyle2">,</span><span class="fontstyle5">从而</span><span class="fontstyle6">影响</span><span class="fontstyle2">患者的生</span><span class="fontstyle4">活</span><span class="fontstyle6">质</span><span class="fontstyle4">量</span><span class="fontstyle9">。</span><span class="fontstyle5">原</span><span class="fontstyle2">发</span><span class="fontstyle3">性</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">的相关</span><span class="fontstyle5">研究</span><span class="fontstyle2">以及</span><span class="fontstyle6">自主</span><span class="fontstyle7">神</span><span class="fontstyle4">经</span><span class="fontstyle1">功</span><span class="fontstyle5">能</span><span class="fontstyle1">衰竭</span><span class="fontstyle2">相关的</span><span class="fontstyle1">小</span><span class="fontstyle6">规</span><span class="fontstyle12">模</span><span class="fontstyle5">研究</span><span class="fontstyle4">均</span><span class="fontstyle6">表</span><span class="fontstyle5">明</span><span class="fontstyle2">,</span><span class="fontstyle0">仰卧</span><span class="fontstyle1">位</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">患者可</span><span class="fontstyle5">能更</span><span class="fontstyle6">易</span><span class="fontstyle2">患心</span><span class="fontstyle3">血管疾</span><span class="fontstyle2">病</span><span class="fontstyle3">和</span><span class="fontstyle1">肾</span><span class="fontstyle2">脏</span><span class="fontstyle3">疾</span><span class="fontstyle2">病</span><span class="fontstyle9">。</span><span class="fontstyle1">上</span><span class="fontstyle3">述</span><span class="fontstyle5">研究</span><span class="fontstyle3">为</span><span class="fontstyle4">治</span><span class="fontstyle2">疗</span><span class="fontstyle0">仰卧</span><span class="fontstyle1">位</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle3">提供了理</span><span class="fontstyle5">论</span><span class="fontstyle10">依</span><span class="fontstyle5">据</span><span class="fontstyle9">。</span><span class="fontstyle3">然</span><span class="fontstyle5">而</span><span class="fontstyle2">,</span><span class="fontstyle0">仰卧</span><span class="fontstyle1">位</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">的</span><span class="fontstyle4">治</span><span class="fontstyle2">疗,</span><span class="fontstyle5">无论</span><span class="fontstyle2">是</span><span class="fontstyle1">药</span><span class="fontstyle3">物</span><span class="fontstyle5">或</span><span class="fontstyle6">非</span><span class="fontstyle1">药</span><span class="fontstyle3">物</span><span class="fontstyle1">方法</span><span class="fontstyle2">,</span><span class="fontstyle6">都</span><span class="fontstyle2">可</span><span class="fontstyle5">能</span><span class="fontstyle2">加重</span><span class="fontstyle0">夜</span><span class="fontstyle5">间</span><span class="fontstyle2">起床时的</span><span class="fontstyle6">直</span><span class="fontstyle8">立</span><span class="fontstyle3">性</span><span class="fontstyle6">低</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">,并可</span><span class="fontstyle5">能导致</span><span class="fontstyle13">跌</span><span class="fontstyle10">倒</span><span class="fontstyle2">相关的并发症</span><span class="fontstyle9">。</span><span class="fontstyle3">目前仍</span><span class="fontstyle4">需要</span><span class="fontstyle5">更</span><span class="fontstyle2">多的</span><span class="fontstyle5">研究</span><span class="fontstyle6">来</span><span class="fontstyle4">确</span><span class="fontstyle5">定</span><span class="fontstyle0">仰卧</span><span class="fontstyle1">位</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle1">对</span><span class="fontstyle2">心</span><span class="fontstyle3">血管</span><span class="fontstyle9">、</span><span class="fontstyle7">脑</span><span class="fontstyle3">血管和</span><span class="fontstyle1">肾</span><span class="fontstyle2">脏</span><span class="fontstyle3">疾</span><span class="fontstyle2">病发病率</span><span class="fontstyle3">和</span><span class="fontstyle2">死亡率的有</span><span class="fontstyle0">害</span><span class="fontstyle6">影响</span><span class="fontstyle9">。</span><span class="fontstyle0">仰卧</span><span class="fontstyle1">位</span><span class="fontstyle2">高</span><span class="fontstyle3">血</span><span class="fontstyle4">压</span><span class="fontstyle2">的</span><span class="fontstyle3">个</span><span 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神经源性直立性低血压患者仰卧位高血压治疗的科学声明——美国自主神经学会、欧洲自主神经学会联合会和欧洲高血压学会.pdf
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