Objective:To explore the clinical value and critical value of home blood pressure measurement in cardiovascular risk prediction of White coat hypertension (WCH) patients. Method: 600 outpatient patients treated in hospital were selected as the research subjects, divided into three groups: normal blood pressure group, high blood pressure HPB group, and WCH group. Each group had 200 patients, and WCH patients were followed up for 3 years. Cardiovascular event statistics were conducted, and various blood pressure monitoring results were recorded. Univariate and multivariate analysis of WCH cardiovascular risk high-risk factors was conducted, Use the receiver operating characteristic curve (ROC) to evaluate the accuracy and determine the critical value. Result: Through univariate analysis, it was found that there were statistically significant differences (P<0.05) between the HBP group and the WCH group in the monitoring results of six items: room blood pressure, office blood pressure, and home hypertension; After a 3-year follow-up, there were 84 patients in the WCH group with concurrent cardiovascular events. The blood pressure monitoring analysis of the cardiovascular group showed statistical differences (P<0.05) for 15 days, 2 years, and 3 years of enrollment; The results of multivariate analysis showed that family self measured blood pressure was an independent risk factor for cardiovascular disease in WCH patients (P<0.05); Conclusion: Family blood pressure measurement can serve as a predictive indicator for cardiovascular risk events in WHC patients, in order to achieve early diagnosis and treatment of their diseases.
family blood pressure measurementwhite coat hypertensioncardiovascular eventspredictive value
维普
万方数据
