Goldberg A D, Raftery E B, Cashman P M, Stott F D
Br Heart J. 1978 Jun;40(6):656-64. doi: 10.1136/hrt.40.6.656.
Continuous recording of intra-arterial blood pressure and electrocardiograms has been performed in 41 ambulant untreated essential hypertensive subjects for periods up to 48 hours. Statistical analysis of the results has revealed: (1) A group of patients who developed a persistent tachycardia during the day. This response was not observed in a control population free of overt cardiovascular disease. (2) Three different haemodynamic responses to day-time activities suggesting different mechanisms for the production of high blood pressures. No normal controls are available for these changes. (3) No differences in responses between patients defined as 'labile' and 'fixed' hypertensives.
对41名未经治疗的门诊原发性高血压患者进行了长达48小时的动脉内血压和心电图连续记录。结果的统计分析显示:(1)一组患者在白天出现持续性心动过速。在无明显心血管疾病的对照人群中未观察到这种反应。(2)对日间活动有三种不同的血液动力学反应,提示高血压产生的机制不同。这些变化没有正常对照。(3)“不稳定型”和“固定型”高血压患者之间的反应没有差异。