从基于web的同步远程医疗保健计划评估患者环境温度与家庭血压之间的关系卡塔尔世界杯8强波胆分析:回顾性研究%黄佳昌%陈佳昌%洪英贤%洪志生%李志生%徐振光%吴子品%吴惠文%庄惠文%陈宝玉%何明芳%何怡伦%+台北市中山南路7号，台北市，886 223123456 ext 66373，临床医学研究生院，内科心内科，ylho@ntu.edu.tw %K环境温度%K家庭血压%K抗高血压药物%K回顾性研究%D 2019 %7 04.03.2019 %9原始论文%J J医学互联网Res %G英文%X背景:降低环境温度会显著增加办公室血压，但很少有研究评估环境温度对家庭血压的影响。目的:探讨短期环境温度暴露与家庭血压的关系。方法:我们从一所大学附属医院的远程医疗保健项目中招募慢性心血管疾病患者。血压由病人或他们的护理人员在家测量。我们从台湾中央气象局获得了台北同一时期每小时的气象数据(温度、相对湿度和风速)。结果:从2009年到2013年，我们共纳入253例患者。患者平均年龄70.28岁(SD 13.79)， 66.0%(167/253)为男性。我们总共收集了110,715个家庭血压测量值。 Ambient temperature had a negative linear effect on all 3 home blood pressure parameters after adjusting for demographic and clinical factors and antihypertensive agents. A 1°C decrease was associated with a 0.5492-mm Hg increase in mean blood pressure, a 0.6841-mm Hg increase in systolic blood pressure, and a 0.2709-mm Hg increase in diastolic blood pressure. This temperature effect on home blood pressure was less prominent in patients with diabetes or hypertension. Antihypertensive agents modified this negative effect of temperature on home blood pressure to some extent, and angiotensin receptor blockers had the most favorable results. Conclusions: Short-term exposure to low ambient temperature significantly increased home blood pressure in patients with chronic cardiovascular diseases. Antihypertensive agents may modify this effect. %M 30829574 %R 10.2196/12369 %U //www.mybigtv.com/2019/3/e12369/ %U https://doi.org/10.2196/12369 %U http://www.ncbi.nlm.nih.gov/pubmed/30829574