健康个体和运动员中的运动诱发高血压：这是一个警示信号吗？
Exercise-Induced Hypertension in Healthy Individuals and Athletes: Is it an Alarming Sign?
作者信息
Mohammed Linha Lina M, Dhavale Meera, Abdelaal Mohamed K, Alam A B M Nasibul, Blazin Tatjana, Prajapati Dhruvil, Mostafa Jihan A
机构信息
Miscellaneous, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
出版信息
Cureus. 2020 Dec 9;12(12):e11988. doi: 10.7759/cureus.11988.
Abstract
Exercise-induced hypertension (EIH) is defined as elevated blood pressure (BP) > 190mm Hg for females and > 210 mmHg for males during exercise. EIH is prevalent among athletes and healthy individuals with no cardiovascular (CV) risk factors. While previous data corroborates exercise in reducing hypertension and cardiovascular risk, the development of EIH and its attendant cardiovascular risk necessitates a review of the pathophysiological mechanisms resulting in EIH. To date, these mechanisms causing EIH are not fully understood, nor are there any established guidelines on the management of EIH. In this article, we discuss in detail the pathophysiological mechanisms, the prognostic value, clinical implications, possible treatment, and future directions in managing EIH.
摘要
运动诱发的高血压（EIH）定义为运动期间女性血压（BP）>190mmHg，男性血压>210mmHg。EIH在运动员和无心血管（CV）危险因素的健康个体中很常见。虽然先前的数据证实运动可降低高血压和心血管风险，但EIH的发生及其伴随的心血管风险需要对导致EIH的病理生理机制进行综述。迄今为止，导致EIH的这些机制尚未完全明确，也没有关于EIH管理的既定指南。在本文中，我们详细讨论了EIH管理中的病理生理机制、预后价值、临床意义、可能的治疗方法以及未来方向。
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2
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3
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