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首页> 外文期刊>Clinical and experimental nephrology >Utility and feasibility of a new programmable home blood pressure monitoring device for the assessment of nighttime blood pressure
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Utility and feasibility of a new programmable home blood pressure monitoring device for the assessment of nighttime blood pressure

机译:一种用于评估夜间血压的新型可编程家用血压监测装置的实用性和可行性

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Background Recent evidence indicates that both ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM) are more useful than the measurement of office blood pressure for evaluating cardiovascular risks in subjects with hypertension. The major advantage of ABPM over HBPM is the ability to measure nighttime blood pressure and ambulatory blood pressure during the day. A newly developed, programmable HBPM device (HEM-5041, OMRON, Kyoto, Japan) can record blood pressure up to 350 times and measure nighttime blood pressure automatically.Methods To validate the utility, feasibility, and safety of this device, we measured blood pressure by HBPM using HEM-5041 and by ABPM and compared the values in healthy volunteers.Results As compared with ABPM, daytime blood pressures, coefficients of variation for systolic blood pressure, diastolic blood pressure, and pulse rate, and the percentage nighttime fall in these variables were significantly lower with HBPM. However, nighttime blood pressures did not significantly differ between HBPM and ABPM. The results of a questionnaire survey indicated that the subjects were more comfortable when blood pressure was measured by HBPM than by ABPM, whereas the quality of sleep was similar. Conclusions Our results suggest that HEM-5041 is useful for evaluating nighttime blood pressures as well as nighttime blood pressure falls, without causing clinically significant discomfort.
机译:背景技术最近的证据表明,动态血压监测(ABPM)和家庭血压监测(HBPM)在评估高血压患者的心血管风险方面比办公室血压测量更有用。与HBPM相比,ABPM的主要优势是能够测量白天的夜间血压和动态血压。最新开发的可编程HBPM设备(HEM-5041,OMRON,日本京都,日本)可以记录多达350次的血压并自动测量夜间血压。方法为了验证该设备的实用性,可行性和安全性,我们测量了血液结果与健康者相比,HBEM使用HEM-5041和ABPM对血压进行了比较。结果与ABPM相比,白天的血压,收缩压,舒张压和脉搏率的变异系数以及夜间下降的百分比这些变量在HBPM中显着降低。但是,HBPM和ABPM之间的夜间血压没有显着差异。问卷调查的结果表明,用HBPM测量血压比用ABPM测血压更舒适,而睡眠质量相似。结论我们的结果表明,HEM-5041可用于评估夜间血压以及夜间血压下降,而不会引起临床上明显的不适。

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