Departments of Internal Medicine and Medical and Health Sciences, Linkopings Universitet, Norrkoping, Sweden.
Departments of Rehabilitation and Medical and Health Sciences, Linkopings Universitet, Norrkoping, Sweden.
J Clin Hypertens (Greenwich). 2018 Jan;20(1):56-64. doi: 10.1111/jch.13157. Epub 2018 Jan 16.
The prevalence of an exaggerated exercise blood pressure (BP) response is unknown in patients with subacute stroke, and it is not known whether an aerobic exercise program modulates this response. The authors randomized 53 patients (27 women) with subacute stroke to 12 weeks of twice-weekly aerobic exercise (n = 29) or to usual care without scheduled physical exercise (n = 24). At baseline, 66% of the patients exhibited an exaggerated exercise BP response (peak systolic BP ≥210 mm Hg in men and ≥190 mm Hg in women) during a symptom-limited ergometer exercise test. At follow-up, patients who had been randomized to the exercise program achieved higher peak work rate, but peak systolic BP remained unaltered. Among patients with a recent stroke, it was common to have an exaggerated systolic BP response during exercise. This response was not altered by participation in a 12-week program of aerobic exercise.
亚急性脑卒中患者的运动血压反应过度的发生率尚不清楚，也不知道有氧运动方案是否能调节这种反应。作者将 53 名亚急性脑卒中患者（女性 27 名）随机分为 12 周的每周两次有氧运动组（n=29）或无计划体力活动的常规护理组（n=24）。在基线时，29%的患者在症状限制功率自行车运动试验中表现出运动血压反应过度（男性收缩压峰值≥210mmHg，女性收缩压峰值≥190mmHg）。在随访时，随机分配到运动组的患者达到了更高的峰值工作率，但收缩压峰值保持不变。在近期发生脑卒中的患者中，运动时出现收缩压反应过度是很常见的。参加 12 周的有氧运动方案并没有改变这种反应。
