Jetté M, Landry F, Blümchen G
Herz. 1987 Apr;12(2):110-8.
Exercise hypertension, defined as a blood pressure response to a dynamic exercise stressor which is considered excessive to what is normally observed in a healthy population, is currently the subject of much discussion. This interest appears to be related to the recent concerns that are being expressed in the utilization of hypertensive drugs with respect to their long-term benefits and risks. I would seem that the proper selection of patients for drug therapy will become as important as the treatment itself, not only for clinical purposes but to insure the quality of life of a patient in the pursuit of his/her daily activities. Also, a number of retrospective studies have shown that an exaggerated blood pressure response to exercise in resting normotensive persons could be a useful indicator to assist in detecting those persons who may be on the way to developing sustained hypertension. The literature suggests that this is a tenable hypothesis but one that will require testing by prospective research. In this respect, it has been suggested that if the blood pressure response to a dynamic exercise in borderline or labile hypertensives is normal, it is possible to dismiss the diagnosis of hypertension, at least temporarily. However, if the blood pressure response is exaggerated, then the diagnosis of hypertension should be considered. In Canada, the Canadian Aerobic Fitness Test (CAFT) has been utilized to assist in detecting exercise hypertension.(ABSTRACT TRUNCATED AT 250 WORDS)
运动性高血压被定义为对动态运动应激源的血压反应，这种反应被认为超过了健康人群中通常观察到的水平，目前是许多讨论的主题。这种关注似乎与近期对高血压药物使用的长期益处和风险所表达的担忧有关。似乎为药物治疗正确选择患者将与治疗本身一样重要，这不仅出于临床目的，而且是为了确保患者在进行日常活动时的生活质量。此外，一些回顾性研究表明，静息血压正常的人运动时血压过度反应可能是一个有用的指标，有助于检测那些可能正在发展为持续性高血压的人。文献表明这是一个合理的假设，但需要前瞻性研究进行验证。在这方面，有人提出，如果临界或不稳定高血压患者对动态运动的血压反应正常，那么至少暂时可以排除高血压的诊断。然而，如果血压反应过度，那么就应该考虑高血压的诊断。在加拿大，加拿大有氧适能测试（CAFT）已被用于协助检测运动性高血压。（摘要截断于250字）
