Sokolova L A, Bondarenko B B, Bart A G, Dzhafarova O A, Klochkova N P
Kardiologiia. 1991 Jun;31(6):11-3.
Multifactor analysis was used to make clinical and hemodynamic comparisons in 42 patients with borderline arterial hypertension, 27 with Stage I hypertension, 40 with Stage II hypertension, and 40 healthy persons. Central hemodynamic parameters at rest and during graded bicycle ergometer exercise were measured by the Defares carbon dioxide return respiration method modified by V. L. Karpman. As compared with patients with hyperkinetic circulation, those with hypokinetic one were older, had a longer history of arterial hypertension, obesity, more common left ventricular hypertrophy, higher baseline diastolic pressures and total peripheral vascular resistance, less increase in cardiac index and greater enhancement of total peripheral vascular resistance during submaximal exercise. There was a clear-cut correlation between the progression of arterial hypertension and increase in values of factors I (clinical and hemodynamic) and III (cardiotonic).
对42例临界高血压患者、27例I期高血压患者、40例II期高血压患者和40名健康人进行了多因素分析,以进行临床和血流动力学比较。采用由V. L. 卡尔普曼改良的德法雷斯二氧化碳回归呼吸法,测量静息和分级自行车测力计运动期间的中心血流动力学参数。与高动力循环患者相比,低动力循环患者年龄更大,动脉高血压病史更长,肥胖,左心室肥厚更常见,基线舒张压和总外周血管阻力更高,次极量运动期间心脏指数增加较少,总外周血管阻力增加更大。动脉高血压的进展与因素I(临床和血流动力学)和III(强心)值的增加之间存在明显的相关性。