Mallion J M, Ormezzano O, Baguet J P
CHU de Grenoble, cardiologie et hypertension artérielle, Grenoble.
Arch Mal Coeur Vaiss. 2005 Oct;98(10):1002-7.
The presence of hypertension is responsible for an increase in cardiovascular morbidity and mortality. The significance of evaluating variations of blood pressure on exercise in actual or potential hypertensives warrants further consideration. The modes of physiological blood pressure variation on effort and the practical methods of performing an exercise test are well documented and have been the subject of guidelines. Within this framework must be included dynamic exercise tests on ergometric bicycles or with treadmills. From numerous studies it is now possible to better define the predictive and prognostic values of the various modes of blood pressure changes with exercise. Blood pressure measurement on exercise represents an additional investigation in cardiovascular morbidity and mortality (coronary or cerebrovascular events). The diagnostic applications of this exercise measurement reveal these prognostic data, and exercise blood pressure measurement is to be recommended in subjects who experience regular significant physical effort.
高血压的存在会导致心血管疾病发病率和死亡率增加。评估实际或潜在高血压患者运动时血压变化的意义值得进一步探讨。关于运动时生理性血压变化的模式以及进行运动试验的实际方法已有充分记录，并且一直是指南的主题。在此框架内必须包括在测力计自行车或跑步机上进行的动态运动试验。通过大量研究，现在能够更好地确定运动时各种血压变化模式的预测和预后价值。运动时的血压测量是对心血管疾病发病率和死亡率（冠心病或脑血管事件）的一项额外检查。这种运动测量的诊断应用揭示了这些预后数据，对于经常进行大量体力活动的受试者，建议进行运动血压测量。
