什麼是運動性高血壓？ 還能運動嗎？哪些人屬於運動性高血壓高危人群？

After the beginning of autumn, Ms Liu ran every day to exercise She found that her blood pressure was very high when she exercised and it took a long time to recover She went to the hospital for consultation and the doctor called it exercise-induced hypertension Exercise does cause a reactive increase in blood pressure mainly during or just after exercise which is normal If you have high blood pressure for a long time after exercise and the value exceeds the physiological range of normal reactivity sometimes accompanied by dizziness,headache and palpitation and sinus arrhythmia is found on the electrocardiogram then you need to be more vigilant It may be "exercise-induced" hypertension". Exercise-induced hypertension is a concept that has only been proposed in recent years and there is no unified and clear international consensus Generally speaking if blood pressure is too high during exercise (ie systolic blood pressure ≥210mm Hg for men systolic blood pressure ≥190mm Hg for women; diastolic blood pressure ≥110mm Hg for men/women), it can be regarded as exercise-induced hypertension Previously it seemed "natural" that exercise caused an increase in blood pressure With the deepening of research we found that exercise-induced hypertension may be related to target organ damage and may also predict the occurrence of future cardiovascular events to a certain extent Even if patients with exercise-induced hypertension do not find any problems at the moment they should regard it as a "warning sign", pay attention to their cardiovascular health and go to the hospital for regular check-ups According to incomplete statistics even healthy people or people with normal blood pressure still have an incidence rate of 18.1%-35.1% of exercise-induced hypertension That is exercise-induced hypertension may occur regardless of whether resting blood pressure levels are in the nonhypertensive range (<140/90mm Hg) or whether antihypertensive medications are being used Males with high normal blood pressure,male grade 1 hypertension,middle-aged people, hyperlipidemia,type 2 diabetes and other groups have a higher incidence of exercise-induced hypertension The pathological mechanism of exercise-induced hypertension is very complex and may be related to excessive sympathetic nervous system hyperactivity,abnormal arterial structure and function metabolic abnormalities,genetics and other factors People should prevent it from multiple levels: actively improve their lifestyle adhere to a low-salt, low-fat and low-sugar diet eat more fruits and vegetables quit smoking and drink less,and maintain a good sleep; participate in aerobic exercise appropriately,not too high intensity and proceed step by step; People who work hard and frequently participate in high-intensity exercise can go to the hospital for an exercise stress test to evaluate whether they may have exercise-induced hypertension Once exercise-induced hypertension is diagnosed people should actively cooperate with treatment and take antihypertensive drugs (β-blockers, angiotensin-converting enzyme inhibitors,angiotensin receptor blockers etc) if necessary Being diagnosed with exercise-induced hypertension does not mean that you will no longer be able to exercise but you must strictly follow the "exercise prescription" prescribed by your doctor