摘要
目的:了解高血压病患者运动试验的特点。方法:对379名高血压病患者行活动平板运动试验,观察运动中心电图、心率、血压、运动耐量、心绞痛等变化,并与对照组进行比较。结果:高血压病组运动中血压显著升高,峰值收缩压≥250mmHg的发生率显著高于对照组;运动耐量较低而室性早搏(Lown's3—5级)发生率较高;运动诱发ST段压低,尤其是恢复期ST段压低者高于对照组,但运动中ST段压低最大值及心绞痛发生率两组间差异无显著性。结论:高血压病患者运动中容易诱发心肌缺血、心律失常及血压过度增高等现象,应引起重视。
Objective:To explore the characteristics of exercise stress test in patients with primary hypertension.Method:379patients with primary hypertension and400cases(without hypertension)as control were assigned to perform exercise stress test.Changes in electrocardiogram,heart rate,blood pressure,metabolic equivalent and the occurence of angina were observed.Result:The blood pressure increased significantly in hypertension group,and the occurence of peak blood pressure over250mmHg was higher than that of the control group.Compared to the control group,there were lower metabolic equivalent,more frequent premature ventricular beats(Lown's3-5),and ST segment depression in exercise and recovery phases in primary hypertension group.However,there was no significant difference in occurence of angina between the two groups.Conclusion:ST segment depression,arrhythmia,and excess hypertension reaction can be induced in essential hypertension by exercise stress test.
出处
《中国康复医学杂志》
CAS
CSCD
2003年第4期217-218,共2页
Chinese Journal of Rehabilitation Medicine
