过度血压对运动反应的临床和预后价值
Cesare Cuspidi1, Andrea Faggiano2,3, Elisa Gherbesi3
1Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在运动测试期间血压反应过度 (EBPR) 表明心血管风险增加和高血压. 这种反应可以揭示不受控制的或掩盖的高血压错过了休息测量.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 运动生理学 运动生理学
背景情况:
- 在运动测试期间血压反应过度 (EBPR) 与不良健康结果有关,包括未来的高血压和心血管事件.
- 在接受治疗的患者中,EBPR可以识别不受控制的高血压和掩盖的高血压 (正常办公室BP,高办公室外BP).
研究的目的:
- 综合审查EBPR的临床意义.
- 涵盖EBPR的定义,流行率,机制,临床关联和预测价值.
主要方法:
- 对运动测试期间血压反应过度研究的文献综述.
- 分析EBPR与高血压,心血管疾病发病率和死亡率相关的数据.
主要成果:
- EBPR是未来高血压和心血管疾病的独立预测因素.
- 它作为不控制和掩盖高血压的标志物.
- EBPR与亚临床器官损伤有关.
结论:
- 在运动测试期间的EBPR对风险分层具有临床意义.
- 它有助于识别需要更密切监测和管理的患者.
- 了解EBPR对于高血压管理中的临床决策至关重要.
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