Hypertension:当心脏感到压迫时,这些“正常”的血压测试值可能会欺骗你!

2018-02-15 佚名 Medicalxpress

来自芝加哥伊利诺斯大学的新数据表明,用于评估个体在心肺运动测试中的血压峰值反应的指导原则(在1996年最后一次更新,并帮助医生筛查高血压和心血管疾病),可能需要修改。

来自芝加哥伊利诺斯大学的新数据表明,用于评估个体在心肺运动测试中的血压峰值反应的指导原则(在1996年最后一次更新,并帮助医生筛查高血压和心血管疾病),可能需要修改。

“这是20多年来首次尝试建立最大的运动血压规范,”美国大学应用健康科学学院(UIC College of Applied Health Sciences)物理治疗副主任谢恩·菲利普斯(Shane Phillips)说。

当病人抱怨心脏压力的症状,如无法解释的呼吸短促,以及物理治疗师认为对建立病人的运动能力很重要时,心脏病专家就会进行心肺运动测试。

作为该研究相关作者的Phillips及其综合生理学实验室的同事分析了FRIEND 30年来收集的血压反应数据,FRIEND也被称为健身登记和运动的重要性国家数据库,在运动试验期间1,605名健康男性和1,312名年龄在20至79岁之间的健康女性参与了研究。研究人员确定了每十年生命中最大收缩压和舒张压的百分位数。

研究人员发现,在心脏跳动的时候,血压的峰值是测量血压的第一个指标,当心脏跳动的时候,血压的测量就会随着年龄的增长而增加。他们还发现,直到第4个十年后这两个组都没有接近达到目前运动时最高收缩压的第90百分位阈值,这被认为是运动性高血压,男性为210,女性为190。

“我们看到的数据比以前的研究显示的要低一些,”Phillips说。“这表明,降低阈值可能是有效的,尤其是在年轻的成年人中,以便准确地识别有可能受益于预防性治疗的边缘反应的人。”

研究还表明,男性和女性在舒张压时遵循不同的模式,这是测量心跳之间血管压力的第二个数字。

Phillips说:“我们看到的数据比旧版研究表明的要低一些,这表明可能有一个降低门槛的有效案例,特别是在年轻人中,以便准确识别出可能从预防性治疗中受益的临界反应的人。”

Phillips说,这一变化反映了血管生理学的差异,比如与男性相比,女性的心室舒张压强度随着年龄的增长而加强。

与收缩期测量一样,在当前研究中,舒张压峰值的测量值低于先前的研究。

Phillips说:“我认为这项研究的关键信息是,在进行心肺运动测试时,所有的方法都不能奏效。随着我们年龄的增长,血压的峰值会发生变化,我们的标准评估血管对运动的反应应该更好地反映年龄和性别的标准。”

Phillips认为,在这些研究结果适用于普通大众之前,还需要进行更多的研究。在这项研究中,94%的研究对象认为是白人,而在上一个年龄组(年龄在70岁到79岁之间)的研究对象显着减少。尽管如此,Phillips说,“对于进一步验证这些结果,以提高诊断和筛查的运动测试的使用和准确性,情况仍然很好。”

该研究发表在美国心脏协会的期刊《高血压》上。该研究由斯坦福大学的Ahmad Sabbahi和Ross Arena,Ba、鲍尔州立大学的Leonard Kaminsky和斯坦福大学的Jonathan Myers共同撰写。

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    2019-01-01 feather89
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    2018-02-17 jyzxjiangqin

    冠心病的高血压治疗.

    0

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  5. [GetPortalCommentsPageByObjectIdResponse(id=2038842, encodeId=0417203884200, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Sun Dec 30 07:41:00 CST 2018, time=2018-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727061, encodeId=29701e27061e5, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Tue Jan 01 19:41:00 CST 2019, time=2019-01-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288594, encodeId=5c90288594af, content=冠心病的高血压治疗., beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Feb 17 08:10:46 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1501262, encodeId=d9de150126271, content=<a href='/topic/show?id=f2db9238f9' target=_blank style='color:#2F92EE;'>#Hypertension#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9238, encryptionId=f2db9238f9, topicName=Hypertension)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11ff9497046, createdName=jambiya, createdTime=Sat Feb 17 03:41:00 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288453, encodeId=677e2884536f, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/NTic9Miaqzd45vaDM0ekLB3vNS5HOYHY9qazsphRvB9G0fykOZXgCUCLcoia97nvrAvJNk3KDbDGpGQWecDYMvEMQ/132, createdBy=6a7b2264890, createdName=爱吃鱼的菜, createdTime=Fri Feb 16 19:12:14 CST 2018, time=2018-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288322, encodeId=7c7328832256, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Fri Feb 16 07:11:58 CST 2018, time=2018-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288273, encodeId=ce222882e392, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Fri Feb 16 00:37:51 CST 2018, time=2018-02-16, status=1, ipAttribution=)]
    2018-02-16 爱吃鱼的菜

    学习了.谢谢分享!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2038842, encodeId=0417203884200, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Sun Dec 30 07:41:00 CST 2018, time=2018-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727061, encodeId=29701e27061e5, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Tue Jan 01 19:41:00 CST 2019, time=2019-01-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288594, encodeId=5c90288594af, content=冠心病的高血压治疗., beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Feb 17 08:10:46 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1501262, encodeId=d9de150126271, content=<a href='/topic/show?id=f2db9238f9' target=_blank style='color:#2F92EE;'>#Hypertension#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9238, encryptionId=f2db9238f9, topicName=Hypertension)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11ff9497046, createdName=jambiya, createdTime=Sat Feb 17 03:41:00 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288453, encodeId=677e2884536f, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/NTic9Miaqzd45vaDM0ekLB3vNS5HOYHY9qazsphRvB9G0fykOZXgCUCLcoia97nvrAvJNk3KDbDGpGQWecDYMvEMQ/132, createdBy=6a7b2264890, createdName=爱吃鱼的菜, createdTime=Fri Feb 16 19:12:14 CST 2018, time=2018-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288322, encodeId=7c7328832256, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Fri Feb 16 07:11:58 CST 2018, time=2018-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288273, encodeId=ce222882e392, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Fri Feb 16 00:37:51 CST 2018, time=2018-02-16, status=1, ipAttribution=)]
    2018-02-16 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=2038842, encodeId=0417203884200, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Sun Dec 30 07:41:00 CST 2018, time=2018-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727061, encodeId=29701e27061e5, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Tue Jan 01 19:41:00 CST 2019, time=2019-01-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288594, encodeId=5c90288594af, content=冠心病的高血压治疗., beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Feb 17 08:10:46 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1501262, encodeId=d9de150126271, content=<a href='/topic/show?id=f2db9238f9' target=_blank style='color:#2F92EE;'>#Hypertension#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9238, encryptionId=f2db9238f9, topicName=Hypertension)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11ff9497046, createdName=jambiya, createdTime=Sat Feb 17 03:41:00 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288453, encodeId=677e2884536f, content=学习了.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/NTic9Miaqzd45vaDM0ekLB3vNS5HOYHY9qazsphRvB9G0fykOZXgCUCLcoia97nvrAvJNk3KDbDGpGQWecDYMvEMQ/132, createdBy=6a7b2264890, createdName=爱吃鱼的菜, createdTime=Fri Feb 16 19:12:14 CST 2018, time=2018-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288322, encodeId=7c7328832256, content=学习了.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Fri Feb 16 07:11:58 CST 2018, time=2018-02-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=288273, encodeId=ce222882e392, content=学习一下谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzaiabIFicf63hKvVMjL6aJlx4yX4UcXmzX9DyibCRcicq0QtCRWMaQKh8MYjE1D3EKUBopgiaGWYuqbeR/0, createdBy=0c2b1999806, createdName=三生有幸9135, createdTime=Fri Feb 16 00:37:51 CST 2018, time=2018-02-16, status=1, ipAttribution=)]
    2018-02-16 三生有幸9135

    学习一下谢谢分享

    0

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