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[不同血流动力学类型高血压患者对体力负荷的反应]

[Reaction to physical load in patients with hypertension with various types of hemodynamics].

作者信息

Dzhumagulova A S

出版信息

Kardiologiia. 1985 Jun;25(6):46-50.

PMID:4046311
Abstract

Forty-seven patients with stage I essential hypertension (EH) were examined. The external mechanical work of the heart at rest and at the height of submaximum exercise was calculated according to V. L. Karpman et al. The circulatory response to exercise in patients with stage I EH was found to be inadequate and dependent on the type of the central hemodynamics. Patients with hyperkinetic circulatory type were characterized by a decrease in the intensity of the hemodynamic response to exercise. Patients with the eu- and hypokinetic types of the hemodynamics having comparatively small values of the external mechanical performance of the heart at rest responded to exercise by a hyperkinetic reaction ensuring the necessary acceleration of the blood flow.

摘要

对47例I期原发性高血压(EH)患者进行了检查。根据V. L. 卡尔普曼等人的方法计算了静息和次最大运动高峰时心脏的外部机械功。发现I期EH患者对运动的循环反应不足,且取决于中心血流动力学类型。高动力循环型患者的特点是运动时血流动力学反应强度降低。静息时心脏外部机械功值相对较小的正常动力型和低动力型血流动力学患者,对运动的反应是高动力反应,以确保必要的血流加速。

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