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논문KCI 등재

가면고혈압

Masked Hypertension

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참고문헌

키워드

주제분류가정의학

초록

고혈압은 우리나라에서도 흔하기에 일차진료의가 관심을 기울여야 하는 질환이다. 고혈압 진단 및 관리는 측정한 혈압수치를 기준으로 하기에 진료실에서, 가정에서, 활동 중의 혈압 측정법과 측정 수치에 익숙하여야 한다. 환자들이 가정에서 자동혈압측정계를 사용하여 혈압을 측정하는 경우에 원칙을 몰라 잘못을 범하는 경우가 있으므로 정확하게 잴 수 있도록 교육하여야 한다. 진료실, 가정, 활동 측정 혈압값 사이의 판정결과가 다른 경우에는 백의고혈압과 가면고혈압이 있다. 진료실측정 혈압은 정상이지만 활동측정혈압이 높은 경우를 가면고혈압이라 하는데 유병률은 10% 전후로 추정되고 혈압의 목적장기손상과 명확한 연관을 보이며 심혈관 사건의 독립적인 예측인자이다. 관련요인으로는 남자, 고령자, 비만, 흡연, 음주, 여성의 피임약 사용, 좌식생활습관, 낮기간의 활동성, 전고혈압 등이기에 진료 중에 가면고혈압이 의심되는 경우에는 활동혈압측정을 의뢰하거나 자가혈압측정을 권유하여 정확한 진단 후에 관리하는 것이 필요하다.

참고문헌 (47)

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관련 논문AI추천

자원자를 대상으로 한 가면고혈압의 빈도 및 관련요인가혁, 고희정, 김성열, 변호영, 최지호, 한진성대한가정의학회 · Korean Journal of Family Medicine2007 · 제28권 제1호신체활동량과 직업군을 포함한 대상자의 특성이 가면효과의 발현에 미치는 영향김미경, 김배근, 김연수, 김유미, 서주연, 신진호, 이형민, 최보율대한고혈압학회 · Clinical Hypertension2011 · 제17권 제4호Diagnostic accuracy of manual office blood pressure measurement in ambulatory hypertensive patients in KoreaChang-Hwan Yoon, Dong-Ju Choi, Doo Ryeon Chung, Goo-Yeong Cho, Hae-Young Lee, Il-Young Oh, In Ho Chae, Jinho Shin, Jin Joo Park, Jung-Won Suh, Sehun Kim, Seung-Ah Lee, Sungha Park, Yeonyee E. Yoon, Youngjin Cho, Young-Seok Cho대한내과학회 · The Korean Journal of Internal Medicine2018 · 제33권 제1호가정혈압을 반영한 항고혈압 치료의 유용성과 혈압 변화 추이김동운, 김상민, 배장환, 이상엽, 이주희, 조명찬, 황경국대한고혈압학회 · Clinical Hypertension2012 · 제18권 제2호Clinical features and predictors of masked uncontrolled hypertension from the Korean Ambulatory Blood Pressure Monitoring Registry김우식, Eun Mi Lee, Hyun-Jin Kim, Jeong-Hun Shin, Jinho Shin, Ju Han Kim, Sang Hyun Ihm, Sang Jae Rhee, Sungha Park, Sun Ho Hwang, Wook Bum Pyun, Yonggu Lee대한내과학회 · The Korean Journal of Internal Medicine2021 · 제36권 제5호Frequency and Related Factors of Masked Hypertension at a Worksite in Korea김상규, 나득영, 배준호, 이경수, 이동욱, 황태윤대한예방의학회 · 예방의학회지2011 · 제44권 제3호

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