Kouidi E, Fahadidou-Tsiligiroglou A, Tassoulas E, Deligiannis A, Coats A
Laboratory of Sports Medicine, Aristotle University of Thessaloniki, Greece.
Am J Hypertens. 1999 Feb;12(2 Pt 1):223-6. doi: 10.1016/s0895-7061(98)00186-1.
We investigated the utility of the selective use of ambulatory BP monitoring (ABPM) and echocardiography in detecting truly hypertensive adolescents from a cohort of young adolescent athletes undergoing BP screening. A total of 410 athletes (aged 16.4+/-2.6 years) were screened and, if initial BP measurement detected a persistently elevated BP (>140 mm Hg systolic or >90 mm Hg diastolic), ABPM and echocardiography were performed. Eighteen clinically hypertensive cases (4.4%) were detected and evaluated with a 24-h ABPM. Sixteen of them were defined as having "white coat hypertension" because they were detected to have normal daytime and nocturnal BP. An elevated level of BP confirmed on ABPM was recorded in only two (0.5%) athletes. Echocardiography failed to demonstrate significant abnormalities.
我们研究了选择性使用动态血压监测（ABPM）和超声心动图，以从一群接受血压筛查的青少年运动员队列中检测出真正患有高血压的青少年的效用。总共对410名运动员（年龄16.4±2.6岁）进行了筛查，如果初始血压测量发现血压持续升高（收缩压>140 mmHg或舒张压>90 mmHg），则进行ABPM和超声心动图检查。检测出18例临床高血压病例（4.4%），并通过24小时ABPM进行评估。其中16例被定义为患有“白大衣高血压”，因为他们白天和夜间血压均正常。仅在两名（0.5%）运动员中记录到ABPM证实的血压升高。超声心动图未显示明显异常。
