对运动高血压反应的定义:系统性审查
Gloria Petrasch1, Hadassa Brito DA Silva1, Valeria Heller2
1Hochgebirgsklinik, Medicine Campus Davos, Davos, Switzerland.
Minerva medica
|May 30, 2025
概括
对运动高血压反应 (HRE) 的定义各不相同,影响诊断. 需要标准化,具体的标准来准确识别和临床指导.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 高血压 (HT) 是一个主要的心血管风险因素.
- 静止血压 (BP) 错过了活动期间的高血压发作.
- 对运动的高血压反应 (HRE) 预测了未来的HT和事件.
研究的目的:
- 收集和调查HRE的可用定义.
- 为了解决HRE发病率估计中的不一致性.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在 MEDLINE 和 Embase (1974-2024) 中进行搜索.
- 包括对常压成年人和运动员的原始研究研究.
主要成果:
- 分析了25项涉及15391名参与者的研究.
- HRE的切线有所不同 (例如,SBP ≥210 mmHg男性,≥190 mmHg女性).
- 定义是异质的;年龄,性别,健康状况和协议等因素影响了BP反应,但经常被遗漏.
结论:
- 标准化,表型特定的标准对于HRE诊断至关重要.
- 改进的准确性将指导临床建议.
- 解决定义中的变化是必不可少的.
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