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| 运动试验结合动态血压监测对老年高血压的预测价值 | |
| 引用本文： | 张新霞,许香广,吴剑胜,邝碧娟,程硕韬,黄建平,胡雪松. 运动试验结合动态血压监测对老年高血压的预测价值[J]. 南方医科大学学报, 2004, 24(2): 228-230 |
| 作者姓名： | 张新霞 许香广 吴剑胜 邝碧娟 程硕韬 黄建平 胡雪松 |
| 作者单位： | 深圳福田人民医院心内科, 广东, 深圳, 518033 |
| 基金项目： | 收稿日期:2003-12-8。作者简介:张新霞(1966-),女,医学博士,副主任医师,研究方向:心血管疾病的内科诊治,电话:0755-26350846 |
| 摘 要： | 目的 活动平板运动试验检出运动高血压,并结合24 h动态血压监测(ABPM),探讨其在老年高血压中的预测价值。方法 采用修正Bruce方案行症状限制性次极量运动试验,共检出45例老年运动高血压患者,并行ABPM。结果 45例老年患者静息血压均在正常范围,运动峰值血压高达(211.98±9.37) mmHg/(101.50±12.86) mmHg (1 mmHg=0.133 kPa),其中ABMP符合高血压诊断标准的有14例;与ABMP正常者相比,前者ABMP各项参数均显著高于后者(P<0.001)。结论 平板运动试验结合动态血压监测有助于早期发现老年高血压。 |
| 关 键 词： | 高血压 老年 运动试验 血压监测 便携式 |
| 文章编号： | 1000-2588(2004)02-0228-03 |
| 修稿时间： | 2003-12-08 |
Prognostic value of exercise in combination with 24-hour ambulatory blood pressure monitoring in elderly hypertensive patients |
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| ZHANG Xin-xia,XU Xiang-guang,WU Jian-sheng,KUANG Bi-juan,CHENG Shuo-tao,HUANG Jian-ping,HU Xue-song. Prognostic value of exercise in combination with 24-hour ambulatory blood pressure monitoring in elderly hypertensive patients[J]. Journal of Southern Medical University, 2004, 24(2): 228-230 | |
| Authors: | ZHANG Xin-xia XU Xiang-guang WU Jian-sheng KUANG Bi-juan CHENG Shuo-tao HUANG Jian-ping HU Xue-song |
| Affiliation: | ZHANG Xin-xia,XU Xiang-guang,WU Jian-sheng,KUANG Bi-juan,CHENG Shuo-tao,HUANG Jian-ping,HU Xue-songDepartment of Cardiology,Futian People's Hospital of Shenzhen City,Shenzhen 518033,China |
| Abstract: | Objective To investigate the prognostic value of exercise combined with 24-hour ambulatory blood pressure monitoring (ABPM) in the elderly hypertensive patients. Methods Forty-five patients over 60 years old were asked to perform submaximal exercise with controlled symptoms according to modified Bruce protocol to detect exercise-induced hypertension, followed by ABPM. Results The blood pressure of all the patients was within normal range, but the exercise induced the peak blood pressure reached 211.98±9.37 mmHg/101.50±12.86 mmHg. Fourteen patients with exercise-induced hypertension conformed to the diagnosis of hypertension according to ABPM, who had significantly higher measurements in ABPM than the normotensive patients (P<0.001). Conclusion Exercise test combined with ABPM may help identify hypertension in early stage in elderly patients. |
| Keywords: | hypertension elderly exercise test blood pressure monitoring ambulatory |
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