运动试验对高血压患者的评价

运动试验可以用于检测血压异常而可能发展至高血压的患者。确定这类患者有助于采取预防性措施以防止或延缓高血压的发生。对血压正常者，运动时出现收缩压和舒张压的异常反应，最高收缩压214mmHg，或者运动停止后3min收缩压或舒张压仍高于正常值，将来发生高血压的长期危险性显著增加。在血压控制较差的患者运动耐量减低，而且严重的系统性高血压可能使没有动脉粥样硬化的患者在运动时出现ST段压低。

（王晓军）

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