运动联合24小时动态血压监测对老年高血压患者的预后价值

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

作者信息

Zhang Xin-xia, Xu Xiang-guang, Wu Jian-sheng, Kuang Bi-juan, Cheng Shuo-tao, Huang Jian-ping, Hu Xue-song

机构信息

Department of Cardiology, Futian People's Hospital of Shenzhen City, Shenzhen 518033, China.

出版信息

Di Yi Jun Yi Da Xue Xue Bao. 2004 Feb;24(2):228-30.

PMID:14965837

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.

摘要

目的

探讨运动联合24小时动态血压监测（ABPM）对老年高血压患者的预后价值。

方法

45例60岁以上患者按照改良Bruce方案进行症状控制下的次极量运动以检测运动诱发的高血压，随后进行ABPM。

结果

所有患者的血压均在正常范围内，但运动使收缩压峰值达到211.98±9.37 mmHg/舒张压峰值达到101.50±12.86 mmHg。14例运动诱发高血压患者根据ABPM符合高血压诊断，其ABPM测量值显著高于血压正常的患者（P<0.001）。结论运动试验联合ABPM可能有助于早期识别老年患者的高血压。