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血压和血管功能的反应最大分级运动测试的年轻人,面具高血压的反应
Keng-Yu Chang1, Jonathan Pham1, Zhaoli Liu2
1Department of Kinesiology, University of Texas at Arlington, Arlington, Texas, United States.
概括
年轻男性面具高血压与更高的中央缩血压有关,特别是在运动后. 运动期间的周围血压和血管功能在各组之间没有差异.
科学领域:
- 心血管生理学心血管生理学
- 高血压研究 高血压研究
- 运动生理学 运动生理学
背景情况:
- 蒙面高血压,以正常的办公室血压为特征,但在办公室外读数升高,通常未被诊断出来.
- 在年轻人中早期发现掩盖高血压对于心血管风险管理至关重要.
研究的目的:
- 调查运动期间的实验室血压和血管功能测量是否可以识别年轻男性的掩盖高血压.
- 为了评估中枢和外围血压,动脉硬,波反射和内皮功能之间的差异,年轻人有和没有掩盖高血压.
主要方法:
- 33名办公室血压<130/80mmHg的年轻人接受了24小时的门诊血压监测.
- 实验室内评估包括外周和中心血压,动脉硬,静止时内皮功能和最大运动后的分级运动.
- 根据门诊血压监测,参与者被分为掩盖高血压 (MH) 和控制 (CON) 组.
主要成果:
- 蒙面高血压组表现出比对照组更高的24小时,白天和夜间缩血压,办公室血压类似.
- 两组之间没有观察到周围血压或静止状态的血管功能或对运动的反应的显著差异.
- 从休息到炼和恢复,蒙面高血压组的中央缩血压显著更高.
结论:
- 周围血压和血管对最大运动的反应并不能区分患有掩盖高血压的年轻人.
- 中枢静脉血压升高,特别是在运动期间和运动后,可能是年轻男性掩盖高血压的潜在指标.
- 需要进一步的研究来探索运动诱导的中央缩高血压在掩盖高血压中的临床影响.
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