Rost R, Heck H
Herz. 1987 Apr;12(2):125-33.
Exercise hypertension refers to an increase in blood pressure during dynamic exercise in excess of the limits in normotensive persons or those with borderline hypertension at rest as well as a disproportionately excessive increase in pressure in hypertensive persons in whom otherwise the increase in exercise pressure is shifted parallel to that of normotensive persons. There is no consensus for the absolute definition of exercise hypertension but traditionally, in sports medicine, systolic blood pressure values of 200 mmHg and more at a workload of 100 watts are considered abnormal. On the basis of the results of a study we performed in 2972 individuals, norms for exercise arterial blood pressure were constructed and found to be related to workload intensity as well as age. In contrast, there was no relationship between exercise blood pressure and exercise capacity or sex. In this regard, indirectly measured diastolic blood pressure is not reliably indicative of the actual prevailing pressure, particularly at higher workloads; it is, therefore, not considered to be useful in detection of exercise hypertension. In agreement with other studies, we found that up to one-third of all patients with normal blood pressure at rest but exercise hypertension eventually developed hypertension at rest. The incidence tended to increase with increasing age. Accordingly, exercise hypertension may be regarded as a precursor to established hypertension at rest.(ABSTRACT TRUNCATED AT 250 WORDS)
运动性高血压是指动态运动期间血压升高，超过血压正常者或静息时临界高血压者的血压上限，以及高血压患者血压不成比例地过度升高，而在其他情况下，高血压患者运动时血压升高与血压正常者平行变化。对于运动性高血压的绝对定义尚无共识，但传统上，在运动医学中，在100瓦工作量时收缩压值达到200 mmHg及以上被认为是异常的。根据我们对2972名个体进行的一项研究结果，构建了运动动脉血压的标准，发现其与工作量强度以及年龄相关。相比之下，运动血压与运动能力或性别之间没有关系。在这方面，间接测量的舒张压并不能可靠地反映实际的主导压力，尤其是在较高工作量时；因此，它被认为对检测运动性高血压没有用处。与其他研究一致，我们发现，所有静息血压正常但患有运动性高血压的患者中，高达三分之一最终发展为静息高血压。发病率往往随着年龄的增长而增加。因此，运动性高血压可被视为静息高血压的先兆。（摘要截短至250字）
