运动测试期间血压与心率反应之间的关系及微循环指标
The Relationship Between Blood Pressure and Heart Rate Response During Exercise Testing with Microcirculation Indices.
作者信息
Liatakis Ioannis, Dimitriadis Kyriakos, Manta Eleni, Andrikou Ioannis, Pyrpyris Nikolaos, Tatakis Fotios, Konstantinidis Dimitrios, Thomopoulos Konstantinos, Manolis Antonios, Tousoulis Dimitrios, Tsioufis Konstantinos
机构信息
First Department of Cardiology, School of Medicine, National and Kapodistrian University of Athens, Hippokration Hospital, Vas. Sofias 114, 11527, Athens, Greece.
出版信息
High Blood Press Cardiovasc Prev. 2025 Mar;32(2):217-222. doi: 10.1007/s40292-024-00695-5. Epub 2024 Dec 24.
INTRODUCTION
Hypertension is associated with changes in microcirculation, while increased blood pressure (BP) during exercise stress testing has been correlated with adverse outcomes.
AIM
To evaluate the relationship of microcirculation with exercise BP response in hypertensive individuals.
METHODS
105 hypertensive individuals underwent exercise stress testing and nail-fold videocapillaroscopy assessment, in order to evaluate the relationship of BP response to exercise with capillary density.
RESULTS
A significant negative correlation between diastolic BP at 1-minute recovery and capillary density was revealed (Pearson's r = -0.365, p = 0.043). A significant negative correlation was also observed between capillary density and peak heart rate (HR) (Pearson's r = -0.364, p = 0.024) and HR increase from stage 1 to 2 (Pearson's r = -0.746, p = 0.013).
CONCLUSION
Capillary rarefaction is associated with an abnormal BP and HR response to exercise, highlighting the role of microcirculation in BP regulation during exercise.
引言
高血压与微循环变化相关，而运动应激试验期间血压（BP）升高与不良结局相关。
目的
评估高血压个体中微循环与运动血压反应之间的关系。
方法
105名高血压个体接受了运动应激试验和甲襞微血管镜检查评估，以评估运动血压反应与毛细血管密度之间的关系。
结果
1分钟恢复期舒张压与毛细血管密度之间存在显著负相关（Pearson相关系数r = -0.365，p = 0.043）。毛细血管密度与峰值心率（HR）之间也观察到显著负相关（Pearson相关系数r = -0.364，p = 0.024）以及HR从第1阶段到第2阶段的增加（Pearson相关系数r = -0.746，p = 0.013）。
结论
毛细血管稀疏与运动时异常的血压和心率反应相关，突出了微循环在运动期间血压调节中的作用。
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