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与战斗相关的创伤后应激障碍的24小时动态血压和心率监测

Twenty-four-hour ambulatory blood pressure and heart rate monitoring in combat-related posttraumatic stress disorder.

作者信息

Muraoka M Y, Carlson J G, Chemtob C M

机构信息

University of Hawaii, Manoa, Honolulu 96822, USA.

出版信息

J Trauma Stress. 1998 Jul;11(3):473-84. doi: 10.1023/A:1024400628342.

Abstract

This study examined the cardiovascular correlates of posttraumatic stress disorder (PTSD) in Vietnam combat veterans using 24-hr ambulatory blood pressure and heart rate monitoring. Veterans with PTSD (n = 11) exhibited significantly higher heart rate and diastolic blood pressure across the 24 hr than veterans without PTSD (n = 7) (80.8 vs. 71.9 bpm, and 80.1 vs. 71.5 mm Hg, respectively). Heart rate during sleep was also significantly higher among veterans with PTSD, compared to veterans without PTSD (71.0 vs. 62.7 bpm). These results, based on a more naturalistic measurement methodology used outside the laboratory, support an association between PTSD and increased chronic cardiovascular arousal.

摘要

本研究采用24小时动态血压和心率监测,对越南参战退伍军人创伤后应激障碍(PTSD)的心血管相关因素进行了调查。患有创伤后应激障碍的退伍军人(n = 11)在24小时内的心率和舒张压显著高于未患创伤后应激障碍的退伍军人(n = 7)(分别为80.8对71.9次/分钟,以及80.1对71.5毫米汞柱)。与未患创伤后应激障碍的退伍军人相比,患有创伤后应激障碍的退伍军人在睡眠期间的心率也显著更高(71.0对62.7次/分钟)。这些基于实验室外使用的更自然测量方法得出的结果,支持了创伤后应激障碍与慢性心血管唤醒增加之间的关联。

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