概括
即使在药物治疗下,高血压患者在运动期间也经常表现出腹压血压升高. 这种运动引起的升高不应被误认为是冠状动脉疾病.
科学领域:
- 心脏病学 心脏病学
- 高血压管理 高血压管理
- 运动生理学 运动生理学
背景情况:
- 甲酸是高血压的常见一线治疗方法.
- 一些患者需要额外的药物来达到正常血压.
- 贝塔抑制剂经常被用作附加疗法.
研究的目的:
- 为了评估高血压患者的运动血压反应,治疗休息状态的血压与甲酸加β阻塞剂.
- 要确定在这些患者的运动期间静脉压升高是否表明冠状动脉样硬化.
主要方法:
- 研究了12名患有高血压的患者,这些患者无法通过单独使用甲来控制高血压.
- 跑步机运动测试在添加β-阻断剂之前和之后进行.
- 在炼期间监测了心率和静脉压和静脉压.
主要成果:
- 双重产品 (高血压x高心率) 在治疗后显著降低.
- 尽管休息时血压正常,但12名患者中有10名在炼期间仍然表现出腹压血压升高.
- 在七名患者中,运动压力达到100mmHg或更高.
结论:
- 患有高血压的患者在用甲酸和β阻塞剂达到静止血压正常时,经常在运动期间表现出显著的透静血压增加.
- 在这些患者中,运动诱导的透静血压升高并不表明冠状动脉样硬化.
- 评估对运动的动脉血压反应对于评估抗高血压治疗疗效至关重要.
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