Franz I W, Bartels F, Müller R
Z Kardiol. 1982 Jul;71(7):458-65.
Blood-pressure response to ergometric work in normotensive subjects, aged 20-50 years. 1. A standardized ergometric procedure is suitable for diagnosis, especially in borderline hypertension and for the prognostic judgment of stable hypertension. However, knowledge about the age and sex-dependent values of normal exercise blood pressure is scanty. 2. Therefore, the normal blood-pressure and heart-rate response during and until 5 mins after ergometric work (50 to 100 watts) was investigated in 323 normotensive subjects (173 males, 150 females), aged 20 to 50 years. 3. At an equal work load, the systolic blood pressures were not significantly different between men and women, or within the age decades. However, diastolic blood pressure response was significantly (p less than 0.05-p less than 0.001) influenced by age. 4. The upper limit for normal blood pressure in men and women between the ages of 20 and 50 years is 200/100 mm Hg (means + 1 SD) at a work load of 100 watts, and corresponding heart rates of 126 +/- 13 and 145 +/- 10 beats/min, respectively. A normal blood-pressure response in the recovery phase is at most 140/90 mm Hg (means + 1 SD) in the fifth minute. 5. The results are of clinical importance for the assessment of blood pressure during and after ergometric work.
20至50岁血压正常者对测力运动的血压反应。1. 标准化的测力程序适用于诊断，尤其是在临界高血压患者中，也适用于稳定型高血压的预后判断。然而，关于正常运动血压的年龄和性别依赖性数值的知识却很匮乏。2. 因此，我们对323名年龄在20至50岁之间的血压正常者（173名男性，150名女性）进行了研究，观察他们在测力运动（50至100瓦）期间及运动后5分钟内的正常血压和心率反应。3. 在相同的工作负荷下，男性和女性之间以及各年龄段内的收缩压没有显著差异。然而，舒张压反应受年龄的影响显著（p小于0.05 - p小于0.001）。4. 20至50岁男性和女性在100瓦工作负荷下的正常血压上限为200/100毫米汞柱（均值 + 1标准差），相应的心率分别为126 ± 13次/分钟和145 ± 10次/分钟。恢复阶段的正常血压反应在第5分钟时最高为140/90毫米汞柱（均值 + 1标准差）。5. 这些结果对于评估测力运动期间及运动后的血压具有临床重要性。
