Monaldi M L, Buccheri A M, Caneschi A, Morettini A, Lagi A
U.O. Medicina interna, Ospedale di Santa Maria Nuova, USL, 10/A, Firenze.
Recenti Prog Med. 1990 Apr;81(4):245-8.
Exercise hypertension is the blood pressure response to dynamic exercise stress which is considered excessive as compared to what is normally observed in a healthy population. It is a useful indicator to assist in detecting those persons who may develop sustained hypertension. Research has been conducted on a large number of patients, carefully selected using as criteria: arterial pressure, presence of other diseases and age. The examination has been conducted by observing the stressor test on the cycloergometer and annotating the Pa with the traditional method. The data was then analyzed using statistical methods. We conclude that at the moment of maximum effort the patients can be divided into two groups based upon PaD values superior or inferior to 20% of base values or to 95 mmHg. Those who exceed these values (43% of all patients studied) are considered as effort hypertensive subjects. The work's originality derives from the statistically proven consideration that the evaluation of PaD at the 8th minute of the test with cardiac rate between 70 and 90% of the maximum theoretical cardiac rate is predictive of effort hypertension. Hence continuation of the test can be avoided with advantages in terms of time and reduction of the generic risks inherent in carrying out a maximal test. Follow up on the patients is in progress.
运动性高血压是指对动态运动应激的血压反应，与健康人群中通常观察到的情况相比，这种反应被认为是过度的。它是一种有助于检测那些可能发展为持续性高血压的人的有用指标。已经对大量患者进行了研究，这些患者是根据动脉压、是否存在其他疾病和年龄等标准仔细挑选出来的。通过在运动功率计上观察应激测试并用传统方法记录动脉压来进行检查。然后使用统计方法对数据进行分析。我们得出结论，在最大运动强度时，根据舒张压（PaD）值高于或低于基础值的20%或95 mmHg，患者可分为两组。超过这些值的患者（占所有研究患者的43%）被视为运动性高血压患者。这项工作的创新性源于统计学证明的一个观点，即在测试第8分钟时，心率在最大理论心率的70%至90%之间时对舒张压的评估可预测运动性高血压。因此，可以避免继续进行测试，在时间方面具有优势，并减少进行最大测试所固有的一般风险。对患者的随访正在进行中。
