运动试验结合动态血压监测对老年高血压的预测价值

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (02): 228-230.

运动试验结合动态血压监测对老年高血压的预测价值

张新霞, 许香广, 吴剑胜, 邝碧娟, 程硕韬, 黄建平, 胡雪松

深圳福田人民医院心内科, 广东, 深圳, 518033

出版日期:2004-02-20 发布日期:2004-02-20
基金资助:
收稿日期:2003-12-8。
作者简介:张新霞(1966-),女,医学博士,副主任医师,研究方向:心血管疾病的内科诊治,电话:0755-26350846

Prognostic value of exercise in combination with 24-hour ambulatory blood pressure monitoring in elderly hypertensive patients

ZHANG Xin-xia, XU Xiang-guang, WU Jian-sheng, KUANG Bi-juan, CHENG Shuo-tao, HUANG Jian-ping, HU Xue-song

深圳福田人民医院心内科, 广东, 深圳, 518033

Online:2004-02-20 Published:2004-02-20

摘要/Abstract

摘要： 目的活动平板运动试验检出运动高血压,并结合24 h动态血压监测(ABPM),探讨其在老年高血压中的预测价值。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。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 (1 mmHg=0.133 kPa),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<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。

Abstract: Objective To investigate the prognostic value of exercise combined with 24-hour ambulatory blood pressure monitoring (ABPM) in the elderly hypertensive patients. Methods Forty-five patients over 60 years old were asked to perform submaximal exercise with controlled symptoms according to modified Bruce protocol to detect exercise-induced hypertension, followed by ABPM. Results The blood pressure of all the patients was within normal range, but the exercise induced the peak blood pressure reached 211.98±9.37 mmHg/101.50±12.86 mmHg. Fourteen patients with exercise-induced hypertension conformed to the diagnosis of hypertension according to ABPM, who had significantly higher measurements in ABPM than the normotensive patients (P<0.001). Conclusion Exercise test combined with ABPM may help identify hypertension in early stage in elderly patients.

中图分类号:

张新霞, 许香广, 吴剑胜, 邝碧娟, 程硕韬, 黄建平, 胡雪松. 运动试验结合动态血压监测对老年高血压的预测价值[J]. 南方医科大学学报, 2004, 24(02): 228-230.

ZHANG Xin-xia, XU Xiang-guang, WU Jian-sheng, KUANG Bi-juan, CHENG Shuo-tao, HUANG Jian-ping, HU Xue-song. Prognostic value of exercise in combination with 24-hour ambulatory blood pressure monitoring in elderly hypertensive patients[J]. Journal of Southern Medical University, 2004, 24(02): 228-230.

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