Baidu
map

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

相关资料下载:
[AttachmentFileName(sort=1, fileName=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)] GetToolGuiderByIdResponse(projectId=1, id=059901c0028ae5c3, title=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, enTitle=, guiderFrom=临床心电学杂志, authorId=0, author=, summary=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。, cover=https://img.medsci.cn/20221109/1668017609430_4754896.png, journalId=0, articlesId=null, associationId=2563, associationName=北京大学人民医院, associationIntro=北京大学人民医院, copyright=0, guiderPublishedTime=Mon Feb 01 00:00:00 CST 2021, originalUrl=, linkOutUrl=, content=<p><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="fontstyle5">常见于</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="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 class="fontstyle1">体</span><span class="fontstyle6">化</span><span class="fontstyle3">管理</span><span class="fontstyle4">需要整</span><span class="fontstyle3">合</span><span class="fontstyle2">多</span><span class="fontstyle5">项数据</span><span class="fontstyle2">,包括</span><span class="fontstyle5">更</span><span class="fontstyle14">精</span><span class="fontstyle4">确</span><span class="fontstyle2">的心</span><span class="fontstyle3">血管风险</span><span class="fontstyle15">评估</span><span class="fontstyle2">,</span><span class="fontstyle4">治</span><span class="fontstyle2">疗</span><span class="fontstyle4">效果</span><span class="fontstyle2">,</span><span class="fontstyle11">安</span><span class="fontstyle1">全</span><span class="fontstyle3">性</span><span class="fontstyle2">,以及</span><span class="fontstyle1">造</span><span class="fontstyle3">成</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">的</span><span class="fontstyle7">潜</span><span class="fontstyle3">在</span><span class="fontstyle2">病</span><span class="fontstyle3">因</span><span class="fontstyle2">的</span><span class="fontstyle3">预</span><span class="fontstyle5">后</span><span class="fontstyle9">。</span></p>, tagList=[TagDto(tagId=60444, tagName=神经源性直立性低血压)], categoryList=[CategoryDto(categoryId=2, categoryName=心血管, tenant=100), CategoryDto(categoryId=17, categoryName=神经科, tenant=100), CategoryDto(categoryId=43, categoryName=冠心病, tenant=100), CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=60444, articleKeyword=神经源性直立性低血压, articleKeywordNum=6, guiderKeywordId=60444, guiderKeyword=神经源性直立性低血压, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=解读, guiderLanguage=0, guiderRegion=3, opened=0, paymentType=, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=1707, appHits=52, showAppHits=0, pcHits=168, showPcHits=1655, likes=0, shares=6, comments=0, approvalStatus=1, publishedTime=Sat Dec 10 20:51:00 CST 2022, publishedTimeString=2021-02-01, pcVisible=1, appVisible=1, editorId=0, editor=QIAN LIN, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=3, createdBy=null, createdName=QIAN LIN, createdTime=Wed Dec 07 23:54:57 CST 2022, updatedBy=6459136, updatedName=玉在山, updatedTime=Fri Jan 05 21:30:35 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=上海, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=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)])
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
下载请点击:
评论区 (0)
#插入话题

拓展阅读

Hypertension:神经源性直立性低血压患者脑血流动力学分析

与HC相比,nOH可显著降低体位CBFv,有症状患者CBFv下降幅度大于无症状患者。认识到CBFv在nOH中的临床意义对于减轻不良后果至关重要。

Theravance Biopharma宣布Ampreloxetine III期研究治疗症状性神经源性直立性低血压患者入组

Theravance Biopharma近日宣布,在使用Ampreloxetine(TD-9855)治疗有症状的神经源性体位性低血压(nOH)的III期临床试验中,第一名患者已正式入组。Ampreloxetine是一种研究性的,每日一次的去甲肾上腺素再摄取抑制剂(NRI),用于治疗有症状的nOH患者。

神经源性直立性低血压及相关仰卧位高血压的筛查、诊断和治疗专家共识解读

神经源性直立性低血压(neurogenic orthostatic hypotension, nOH)是老年人较常见的一种疾病,尤其多见于患有神经退行性疾病的患者。关于该病的诊断与治疗,目前尚无相关循证指南。美国自主神经科学学会和国家帕金森病基金会于2017 年1 月推出了针对nOH 及相关仰卧位高血压的诊治专家共识,该共识基于专家经验和目前可用的最佳证据,对nOH 的筛查、诊断与治疗,以及相关仰

神经源性直立性低血压与相关仰卧位高血压的筛查、诊断和治疗专家共识

美国自主神经科学学会和美国国家帕金森病基金会共同举办了初步的专家共识小组会议,以制定相关基本建议,并形成了nOH及相关卧位高血压筛查、诊断和治疗的临床工作指南。本文总结了会议期间的讨论结果、小组参与者之间的后续审议以及每个主题领域的相关建议。尽管大多数与nOH 相关的典型疾病患者就诊于心脏科或神经科医师,尤其是运动障碍相关医师及专家,但初级保健医师可能会在临床工作中首先接触并鉴别出潜在的nOH 患

Baidu
map
Baidu
map
Baidu
map