运动员高血压:临床影响和管理策略
1Division of Cardiology, Emory University School of Medicine, 101 Woodruff Circle, WMB 319, Atlanta, GA 30322, USA. Electronic address: https://twitter.com/jasontsomd.
Cardiac electrophysiology clinics
|January 27, 2024
概括
高血压是运动员的重要心血管风险,受运动行为和训练类型的影响. 管理需要量身定制的评估和药物治疗,考虑副作用和体育合法性.
科学领域:
- 运动医学 运动医学
- 心脏病学 心脏病学
- 运动生理学 运动生理学
背景情况:
- 高血压对运动员来说是一个主要的心血管风险因素.
- 运动特定的行为,如NSAID使用,兴奋剂使用和不良饮食,可以导致运动员的高血压.
- 力量训练运动员可能比耐力运动员更高的高血压率,可能是由于体型和有氧运动的好处.
研究的目的:
- 审查导致运动员高血压的因素,评估方法和管理策略.
- 突出运动群体中高血压的独特考虑因素.
主要方法:
- 对运动员高血压研究的文献综述.
- 分析体育特异性风险因素和生理反应.
- 检查当前对运动员高血压评估和药物治疗的指南.
主要成果:
- 运动员面临的高血压风险来自非类固醇抗炎药物,兴奋剂和饮食.
- 与耐力训练相比,力量训练可能与更高的高血压患病率有关.
- 运动员高血压的管理需要对年轻人进行二次评估,对老年运动员进行全面的风险分层.
结论:
- 运动员的高血压需要仔细管理,考虑运动特定的因素.
- 药物治疗选择,包括通道阻断剂和氨酸-血管酶系统抑制剂,必须考虑到潜在的副作用和反兴奋剂法规.
- 量身定制的评估和治疗方法对于管理运动群体的高血压至关重要.
相关概念视频
Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
Errors occurring during blood pressure monitoring
727
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
727
Factors affecting Blood pressure
3.2K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.2K
Blood Pressure
1.1K
Blood pressure (BP) is the pressure or force of blood exerted on the artery's walls as it circulates through the body. It is essential for maintaining blood flow throughout the body.
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the...
1.1K
Special considerations while measuring blood pressure
724
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
724
Exercise and Cardiovascular Response
812
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
812


