?? ?? ?? ? ?

假性高血压和假性高血压现象是指袖带间接法测定的血压低于血管内直接的定值的临床上的疾病和现象。及时发现和确诊是关键。老年人、糖尿病病史较长、慢性肾脏病及动脉硬化严重等患者中易发生假高血压。正确的血压测定对确诊至关重要。一些辅助检查可以帮助诊断,如:直接血压测定、血管影像学检查等,而传统的Olser法可能对诊断的意义有限。假性高血压在降压治疗时应避免过度降压。

Pseudohypertension

Pseudohypertension(PHT) and its symptoms refer to the clinical disease and symptoms in which blood pressure(BP) measured by cuff indirect method is lower than the directly measured intra-arterial pressure.Timely identification and confirmed diagnosis are critical.PHT is more common in the elderly and patients with relatively long history of diabetes,chronic kidney disease and sever atherosclerosis.The correct BP measurement is of great importance to confirm diagnosis.Some adjunctive examinations can be helpful for diagnosis such as the direct BP measurement and vascular imaging exami-nation,while the conventional Olser method may be of limited significance.Excessive reduction in BP should be avoided when BP-lowering treatment for PHT is considered.