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Systolic and Diastolic Blood Pressure Variability as Risk Factors for Adverse Events After Coronary Artery Bypass Grafting
JAMA Surgery ( IF 15.7 ) Pub Date : 2019-01-01 , DOI: 10.1001/jamasurg.2018.3233
Cornelius M. Dyke 1, 2 , Cecilia L. Benz 1 , Chani M. Taggart 1 , Marilyn G. Klug 1 , Marc D. Basson 1
Affiliation  

Although hypertension increases surgical risk, the contribution of chronic outpatient blood pressure variability (BPV) to surgical risk is unclear. Blood pressure variability correlates with altered arterial wall stiffness and atherosclerotic plaque volume and has been associated with subsequent hospitalization, stroke, renal failure, and death.1-3 Patients undergoing coronary artery bypass grafting (CABG) procedures exhibit abnormalities in vascular compliance and endothelial function that predispose them to adverse cardiovascular outcomes.4,5 We hypothesized that long-term, visit-to-visit BPV before surgery is a previously unrecognized risk factor for adverse outcomes after CABG surgery.



中文翻译:

收缩压和舒张压的变异性是冠状动脉旁路移植术后不良事件的危险因素

尽管高血压会增加手术风险,但尚不清楚慢性门诊血压变异性(BPV)对手术风险的影响。血压变异性与动脉壁僵硬程度和​​动脉粥样硬化斑块体积改变有关,并与随后的住院治疗,中风,肾功能衰竭和死亡有关。1 -3接受冠状动脉旁路移植术(CABG)的患者表现出血管顺应性和内皮功能异常,使他们容易出现不良的心血管预后。4 ,5,我们推测,长期,访问到访问BPV手术前是CABG手术后的不良后果先前未知的危险因素。

更新日期:2019-01-17
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