2019年6月13日 星期四

白袍高血壓會增加心血管死亡率

Untreated White Coat Hypertension Linked to Increased CV Risk

白袍高血壓不是像一般想像的,是良性而不用治療。
根據Annals of Internal Medicine一篇meta  analysis,收入64,000案例,追蹤3到19年,發現:

“沒有治療的白袍高血壓相較於正常血壓者有增加33%的死亡率。但是,若是有治療的白袍高血壓患者,則沒有死亡率增加的情況。〝

白袍高血壓沒有治療者:
- increased risk for cardiovascular events (hazard ratio [HR], 1.36 [95% CI, 1.03 to 2.00])
- all-cause mortality (HR, 1.33 [CI, 1.07 to 1.67]),
- cardiovascular mortality (HR, 2.09 [CI, 1.23 to 4.48])

白袍高血壓有治療者(WCE):
- No significant association was found between treated WCE and cardiovascular events (HR, 1.12 [CI, 0.91 to 1.39]), all-cause mortality (HR, 1.11 [CI, 0.89 to 1.46]), or cardiovascular mortality (HR, 1.04 [CI, 0.65 to 1.66]).

REVIEWS |11 JUNE 2019
Cardiovascular Events and Mortality in White Coat Hypertension: A Systematic Review and Meta-analysis
https://annals.org/aim/article-abstract/2735719/cardiovascular-events-mortality-white-coat-hypertension-systematic-review-meta-analysis

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