CUFF AND AMBULATORY BLOOD PRESSURE IN SUBJECTS WITH ESSENTIAL HYPERTENSION
CUFF AND AMBULATORY BLOOD PRESSURE IN SUBJECTS WITH ESSENTIAL HYPERTENSION
复制标题
原发性高血压患者的袖带血压和动态血压
DOI：
10.1016/s0140-6736(81)90296-8
复制
发表时间：
1981
期刊：
影响因子：
--
通讯作者：
P. Sleight
中科院分区：
文献类型：
--
作者：
J. Floras;J. Floras;Mohammed O. Hassan;Mohammed O. Hassan;P. Sever;P. Sever;J. Jones;J. Jones;B. Osikowska;B. Osikowska;P. Sleight;P. Sleight
对59名接受直接动态血压监测的临界性或原发性高血压患者进行了临床袖带血压测量，并与平均动脉压进行了比较。22例患者(I组)的平均袖带压力与动态血压相近(±10 mm Hg)，而32例患者(II组)的袖带压力高于10 mm Hg。I组和II组不能根据临床检查、交感神经活动指数或血压变异性或体力或脑力锻炼时压力上升的幅度来区分。II组心血管靶器官损害较轻，压力反射敏感性较好，但有相当大的重叠。没有可靠的方法来判断哪些受试者的动态血压低于袖带压力。经袖带测量归类为高血压的59名受试者中，有20名清醒时的动态血压低于140/90毫米汞柱。
Clinic cuff blood-pressure measurements, obtained on at least three occasions, were compared with mean arterial pressures in 59 patients with borderline or essential hypertension who underwent direct ambulatory monitoring of blood pressure. In 22 patients (group I) mean cuff and ambulatory pressures were similar (±10 mm Hg) while in 32 subjects (group II) cuff pressures were more than 10 mm Hg higher. Groups I and II could not be distinguished on the basis of clinical examination, indices of sympathetic nerve activity, or blood-pressure variability, or by the magnitude of pressure rise during physical or mental exercise. Group II had less cardiovascular target organ damage and better baroreflex sensitivity but there was considerable overlap. There was no reliable way of telling which subjects would have lower ambulatory than cuff pressures. 20 out of 59 subjects classified as hypertensive by cuff measurements had awake ambulatory pressures of less than 140/90 mm Hg.