浙江医学Issue(5)：364-367,4.
静息血压控制正常的运动高血压患者临床特征分析及动脉弹性的比较
Clinical characteristics and arterial elasticity in hypertensive patients with well-controlled blood pressure at rest and their response to exercise
摘要
Abstract
Objective To investigate the clinical characteristics and arterial elasticity in hypertensive patients with wel-control ed blood pressure at rest and their response to exercise. Methods Hypertensive patients with wel-control ed blood pressure at rest were divided into two groups according to peak systolic blood pressure(SBP) after sub-maximal treadmil exercise test:hypertensive response group (peak exercise SBP≥200mmHg, n=48) and normal response group (peak exercise SBP<200mmHg, n=53). Cardio-ankle vascular index(CAVI) and blood chemistry were measured in al patients. Results There was significant differences in age, BMI, LDL-C, smoking, stroke, taking statins between two groups (P<0.05). Hypertensive re-sponse group showed higher peak SBP after sub-maximal treadmil exercise test, faster increase of blood pressure than normal response group[(213.73±5.8) vs (177.9±8.4) mmHg and (8.6±1.9) vs (4.9±1.0) mmHg/min, P<0.05]. Patients with hyperten-sive response showed higher CAVI [(10.61±0.78)m/s vs (9.03±0.91)m/s, P<0.05] compared to those with normal response. Sub-maximal exercise systolic blood pressure was correlated with CAVI and taking statins closely (r=0.695 and 0.248,respec-tively, P<0.05). Conclusion Patients with hypertensive response showed higher proportion in CV risk factors and worse arterial elasticity even if their resting blood pressure was control ed wel . Hypertensive response to exercise is associated with CAVI, BMI, HbA1c and whether taking statins closely.关键词
运动高血压/平板运动试验/心踝指数/动脉硬化Key words
Hypertensive response to exercise/Treadmill exercise test/Cardio-ankle vascular index/Arterial elas-ticity引用本文复制引用
王雁,王伯忠,朱利月,任爱华..静息血压控制正常的运动高血压患者临床特征分析及动脉弹性的比较[J].浙江医学,2013,(5):364-367,4.基金项目
浙江省医药卫生基金资助项目(2010KYX027) （2010KYX027）
