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高血压血压调节异常的治疗指征(7年随访)

[Treatment indications of hypertensive blood pressure dysregulation (a 7-year follow-up)].

作者信息

Hempel A, Graf B, Schröder K, Urbaszek W

机构信息

Abteilung für Kardiologie, Universität Rostock.

出版信息

Z Gesamte Inn Med. 1990 Nov 1;45(21):646-9.

PMID:2099019
Abstract

The results of the present course investigations by means of bicycle ergometry over seven years on patients with vitality-limiting load hypertension in normotensive and initial situation of the borderline blood pressure, respectively, render necessary from the point of view of the authors an increase of the former indications to treatment. Situative measurement of blood pressure only at rest are hereby not sufficient and demand a bicycle-ergometric objectivation of the possible hypertensive dysregulation of blood pressure in patients with anamnestically restricted range of physical efficacy. In patients with exclusively under load increased vitality-limiting blood pressure values the ergometry represents the diagnostic method of choice.

摘要

作者通过对血压正常及处于临界血压初始状态的、因负荷导致活力受限的高血压患者进行为期七年的自行车测力计检查,得出如下结果:从作者的角度来看,有必要增加对前者的治疗指征。仅进行静息状态下的血压情境测量是不够的,对于那些既往身体效能范围受限的患者,需要通过自行车测力计检查来客观评估其血压可能存在的高血压调节异常情况。对于仅在负荷状态下出现活力受限的血压值升高的患者,测力计检查是首选的诊断方法。

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