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高血压患者及服用抗高血压药物者潜水

Diving with hypertension and antihypertensive drugs.

作者信息

Westerweel Peter E, Rienks Rienk, Sakr Ahmed, Taher Adel

机构信息

Department of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, the Netherlands.

Dutch Society for Diving Medicine.

出版信息

Diving Hyperb Med. 2020 Mar 31;50(1):49-53. doi: 10.28920/dhm50.1.49-53.

DOI:10.28920/dhm50.1.49-53
PMID:32187618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7276276/
Abstract

Hypertension is a common condition, which is highly prevalent amongst scuba divers. As a consequence, a substantial proportion of divers are hypertensive and/or on antihypertensive drugs when diving. In this article, we review available literature on the possible risks of diving in the presence of hypertension and antihypertensive drugs. Guidelines are presented for the diving physician for the selection of divers with hypertension suitable for diving, along with advice on antihypertensive treatment best compatible with scuba diving.

摘要

高血压是一种常见病症,在水肺潜水员中极为普遍。因此,相当一部分潜水员在潜水时患有高血压和/或正在服用抗高血压药物。在本文中,我们回顾了有关高血压和抗高血压药物情况下潜水可能存在风险的现有文献。为潜水医生提供了指南,用于挑选适合潜水的高血压潜水员,并给出了与水肺潜水最兼容的抗高血压治疗建议。

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South Pacific Underwater Medicine Society guidelines for cardiovascular risk assessment of divers.南太平洋水下医学会潜水员心血管风险评估指南。
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Int J Cardiol. 2014 Mar 15;172(2):528-9. doi: 10.1016/j.ijcard.2014.01.021. Epub 2014 Jan 22.
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Adverse respiratory effect of acute β-blocker exposure in asthma: a systematic review and meta-analysis of randomized controlled trials.哮喘患者急性β受体阻滞剂暴露的不良呼吸影响:系统评价和随机对照试验的荟萃分析。
Chest. 2014 Apr;145(4):779-786. doi: 10.1378/chest.13-1235.
9
Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries.高、中、低收入国家城乡社区高血压的患病率、知晓率、治疗率和控制率。
JAMA. 2013 Sep 4;310(9):959-68. doi: 10.1001/jama.2013.184182.
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Increase of pulmonary arterial pressure in subjects with venous gas emboli after uncomplicated recreational SCUBA diving.常压休闲潜水后静脉气体栓塞患者肺动脉压升高。
Respir Med. 2013 Apr;107(4):596-600. doi: 10.1016/j.rmed.2013.01.002. Epub 2013 Jan 30.