Dimitriou R, De Gaudemaris R, Debru J L, Dubois F, Camaleonte A, Perdrix A, Mallion J M
Arch Mal Coeur Vaiss. 1984 Oct;77(11):1162-6.
Comparative study is performed between echocardiographic measurements (TM), exercise test blood pressure profile (ETP) and ambulatory blood pressure load (BPL) in 26 borderline hypertensive subjects (19 males, 7 females). An abnormal ETP is found for 15 subjects (57 p. 100), an abnormal BPL for 10 subjects (38 p. 100). The diastolic interventricular septum thickness (IVS) and the diastolic posterior wall thickness (PWT) are abnormal (greater than 11 mm) for 6 and 3 subjects. Patient with pathologic ETP or/and BPL have greater IVS and PWT than other subjects (p less than 0,001). A good correlation is found between individual activity systolic blood pressure or 24 hours systolic blood pressure means values and PWT, IVS or left ventricular mass. These 3 examinations lead to a better assessment of cardiovascular strain and allow a better diagnosis and therapeutic approach in borderline hypertensive patients.
对26例临界高血压患者（19例男性，7例女性）进行了超声心动图测量（TM）、运动试验血压曲线（ETP）和动态血压负荷（BPL）的比较研究。15例患者（57%）的ETP异常，10例患者（38%）的BPL异常。6例和3例患者的舒张期室间隔厚度（IVS）和舒张期后壁厚度（PWT）异常（大于11毫米）。病理性ETP或/和BPL的患者比其他患者的IVS和PWT更大（p小于0.001）。个体活动收缩压或24小时收缩压均值与PWT、IVS或左心室质量之间存在良好的相关性。这三项检查有助于更好地评估心血管负荷，并为临界高血压患者提供更好的诊断和治疗方法。
