Cantor A, Gold B, Gueron M, Cristal N, Prajgrod G, Shapiro Y
Cardiology. 1987;74(2):141-6. doi: 10.1159/000174188.
We compared the effect of two exercise stress tests on blood pressure in normal and borderline populations. The aim of the trial was to determine if isometric exercise testing by handgrip can replace the isotonic exercise test in population screening for the detection of mild and latent hypertension. The study involved 150 subjects; 62 were normotensive and 88 were borderline hypertensive. No significant statistical difference was found in diastolic pressure between the tests. In normotensive subjects, the diastolic response after isotonic effort was 79.3 +/- 9.6 mm Hg and 89.0 +/- 9.7 mm Hg after the isometric test (p less than 0.05). However, both results did not pass 100 mm Hg. In borderline hypertensive patients the diastolic response to the isotonic test was 105.6 +/- 8.8 mm Hg and after the isometric test 107.7 +/- 10.6 mm Hg (NS). The results show that the handgrip isometric test can replace the complicated isotonic test for the screening detection and evaluation of hypertensives in the population.
我们比较了两种运动应激试验对正常人群和临界人群血压的影响。该试验的目的是确定在人群筛查中，通过握力进行的等长运动试验是否可以替代用于检测轻度和潜在高血压的等张运动试验。该研究涉及150名受试者；62名血压正常，88名处于临界高血压状态。两种试验之间舒张压未发现显著统计学差异。在血压正常的受试者中，等张运动后的舒张压反应为79.3±9.6毫米汞柱，等长试验后为89.0±9.7毫米汞柱（p<0.05）。然而，两个结果均未超过100毫米汞柱。在临界高血压患者中，等张试验的舒张压反应为105.6±8.8毫米汞柱，等长试验后为107.7±10.6毫米汞柱（无显著性差异）。结果表明，握力等长试验可替代复杂的等张试验，用于人群中高血压的筛查检测和评估。
