• 作者：P. Gonzá ; lez Carretero ; ^{pgonzalez@hsjdbcn.org} ; A. Gimé ; nez Llort ; D. Muñ ; oz Santanach ; J. Vila Cots ; A. Vila Santandreu ; J.A. Camacho Dí ; az
• 关键词：Hipertensió ; n arterial por esfuerzo ; Hipertrofia ventricular izquierda ; Cardiovascular
• 刊名：Hipertensi¨®n y Riesgo Vascular
• 出版年：2009
• 出版时间：June 2009
• 年：2009
• 卷：26
• 期：3
• 页码：121-125
• 全文大小：236 K

Introduction

Exercise produces a physiological increase of the blood pressure. Some previously normotensive subjects have significant increases with exercise, which could be an adverse prognostic factor.

Clinical cases

Two male subjects, 15 and 16 years old, with no personal background of interest, were referred. The first one was due to loss of consciousness for several minutes with spontaneous recovery while practicing basketball. The second case was for a strong headache that occurred while playing soccer. Blood pressure values for both were > P₉₉ and their physical examinations were normal. Tests performed at rest showed normal ranges. The laboratory findings, renal and metabolic function and hormones were normal. There were no abnormalities on the echo-Doppler. Involvement of target organs was ruled out. Ambulatory blood pressure monitoring showed tension peaks > P₉₉, coinciding with exercise, the remaining readings being within normality. Intense physical exercise was discontinued, without requiring any other type of actions.

Conclusions

Introducing ambulatory blood pressure monitoring as screening in medicalsports check-ups and suppression of exercise as the only therapeutic measures should be evaluated when faced with arterial hypertension in adolescents who practice sports.