Middeke M, Mika E, Schreiber M A, Beck B, Wächter B, Holzgreve H
Medizinische Poliklinik Ludwig-Maximilians-Universität München.
Klin Wochenschr. 1989 Jul 17;67(14):713-6. doi: 10.1007/BF01721289.
Ambulatory 24 hour blood pressure measurements were performed in 21 patients with various forms of secondary hypertension and were compared with the blood pressure profile of a matched group of patients with primary hypertension. Patients with renovascular (n = 8) and renoparechymal hypertension (n = 8), and with primary hyperaldosteronism (n = 4) showed no significant fall in systolic blood pressure during the sleeping period (00-03 a.m.) and in systolic and diastolic blood pressure in the early morning (06 a.m.) as compared with essential hypertensives. However, in a single case of hypertension due to coarctation of the aorta the 24 hour blood pressure profile is not different from essential hypertension. Thus, ambulatory 24 hour blood pressure recording is a good method for screening secondary forms of hypertension.
对21例各种类型继发性高血压患者进行了24小时动态血压测量，并与一组匹配的原发性高血压患者的血压情况进行了比较。肾血管性高血压（n = 8）、肾实质高血压（n = 8）和原发性醛固酮增多症（n = 4）患者与原发性高血压患者相比，在睡眠期间（凌晨00 - 03点）收缩压无显著下降，清晨（上午06点）收缩压和舒张压也无显著下降。然而，在1例主动脉缩窄所致高血压患者中，24小时血压情况与原发性高血压并无差异。因此，24小时动态血压记录是筛查继发性高血压类型的一种好方法。
