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运动试验结合动态血压监测对老年高血压的早期检出 被引量:4

Diagnostic value of exercise test in combination with 24 hours ambulatory blood pressure monitoring for aged patients with hypertension
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摘要 目的:活动平板运动试验检出运动高血压,并结合24h动态血压监测(ABPM),探讨其早期检出老年高血压的价值。方法:采用修正Bruce方案行症状限制性次极量运动试验,共检出45例老年运动高血压患者,并行ABPM检查。结果:45例老年患者静息血压均在正常范围,运动峰值血压高达(211.98±9.37)mmHg/(101.50±12.86)mmHg,其中ABMP符合高血压诊断标准的有14例;与ABMP正常者相比,前者ABMP各项参数均显著高于后者(P值均<0.001)。结论:平板运动试验结合动态血压监测有助于早期发现老年高血压。 Objective: To investigate the diagnostic value of exercise together with 24 hours ambulatory blood pressure monitoring (ABPM) for aged patients with hypertension. Methods: Aged patients performed symptom restrictive exercise test according to modified Bruce program to detect hypertension induced by exercise and then underwent ABPM. The blood pressure (BP) was normai at rest in these patients. Results: During exercise 45 patients complicated with hypertension induced by exercise, whose peak value of BP reached (211. 98±9. 37) mmHg/ (101. 50±12. 86) mmHg. In which 14 patients were consistent with the diagnosis of hypertension according to ABPM, and all the parameter of ABPM were greater in these 14 patients than those in normai BP patients during ABPM (P<0.001, respectively). Conclusion: Exercise test combined with ABPM may help to find hypertension early in the aged.
出处 《心血管康复医学杂志》 CAS 2004年第4期307-309,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 运动试验 动态血压监测 老年 高血压 早期诊断 Hypertensio Exercise test Ambulatory Blood pressure monitoring
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参考文献5

  • 1[1]Allison TG,Cordeiro MA, Miller TD, et al. Prognostic significance of exercise-induced systemic hypertension in healthy subjects [J].Am JCardiol, 1999, 83 (3): 371-375.
  • 2张维忠,施海明,王瑞冬,余绮文,王治国,张麟,吴中玉.动态血压参数正常参照值协作研究[J].中华心血管病杂志,1995,23(5):325-328. 被引量:256
  • 3[4]Smith DHG, Neutel JM, Graettinger WF, et al. Impact of left ventriccular hypertrophy on blood pressure responses to exerccise [J]. Am JCardiol, 1992, 69: 225-228.
  • 4[5]Filipovsky J, Ducimetier P, Safer ME, et al. Prognostic significance of exercise blood pressure and heart rate in middle aged men [J].Hypertension, 1992, 20: 333-339.
  • 5刘健,李佐才,山路,阚瑞媛,汤亚明.运动试验与24小时动态血压监测对高血压早期诊断价值的探讨[J].国外医学(心血管疾病分册),2002,29(5):294-296. 被引量:3

二级参考文献7

  • 1朱顺和,张维忠.运动性高血压70例[J].高血压杂志,1996,4(1):33-35. 被引量:3
  • 2张麟,中华心血管病杂志,1994年,22卷,178页
  • 3张维忠,上海医学,1992年,15卷,520页
  • 4黄海云.运动高血压对高血压的预测价值[J].中国循环杂志,2000,15:230-230.
  • 5Smith DHG, Neutel JM, Graettinger WF, et al. Impact of left ventrieular hypertrophy on blood pressure responses to exercise. Am J Cardiol, 1992; 69: 225~228
  • 6Allison TG, Cordeiro MA, Miller TD, et al. Prognostic significance of exercise-induced systemic hypertension in healthy subjects. Am J Cardiol, 1999; 83(3): 371~375
  • 7Filipovsky J, Ducimetier P, Safar ME, et al. Prognostic significance of exercise blood pressure and heart rate in middleaged men. Hypertension, 1992; 20: 333~339

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