综述

假性高血压的研究进展

  • 戴茜茜 ,
  • 汪海娅
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  • 上海交通大学 医学院附属仁济医院老年病科, 上海 200127
戴茜茜(1988—), 女, 硕士生; 电子信箱: daixixi811726@126.com。

网络出版日期: 2015-03-26

Advances of pseudohypertension

  • DAI Xi-xi ,
  • WANG Hai-ya
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  • Department of Geriatrics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

Online published: 2015-03-26

摘要

基于柯氏音法的无创性血压测量是排查高血压最常用的方法。由于动脉粥样硬化等原因,可使动脉内压低于无创血压,这种情况称之为假性高血压(PHT)。如果PHT未被识别,可引发不合理甚至有害的治疗,老年人则更容易发生缺血和缺氧情况。该文对PHT的定义、流行病学、发病机制及其无创识别方法(脉搏波传导速度、动态血压监测和脉压等)的研究进展进行综述。

本文引用格式

戴茜茜 , 汪海娅 . 假性高血压的研究进展[J]. 上海交通大学学报(医学版), 2015 , 35(3) : 450 . DOI: 11.3969/j.issn.1674-8115.2015.03.029

Abstract

Non-invasive blood pressure measurement based on Korotkoff sounds is the most common method for screening the hypertension. But due to reasons such as atherosclerosis, the intra-arterial pressure may be lower than the non-invasive blood pressure, which is called pseudohypertension (PHT). PHT may lead to inappropriate, even harmful treatments if unrecognized. For the elderly, PHT frequently causes hypoxia and ischemia. This paper reviews research progresses of the definition, epidemiology, pathogenesis, and non-invasive identification methods (pulse wave velocity, ambulatory blood pressure monitoring, pulse pressure, etc.) of PHT.

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