Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs

Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs

OBJECTIVE: To evaluate the behavior of blood pressure during exercise in patients with hypertension controlled by frontline antihypertension drugs. METHODS: From 979ergometric tests we retrospectively selected 49 hipertensive patients (19 males). The age was 53±12 years old and normal range rest art...

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Bibliographic Details
Main Authors: Carreira Maria Angela Magalhães de Queiroz, Ribeiro Jamila Costa, Caldas José Antônio, Tavares Leandro Reis, Nani Eduardo
Format: Article
Language:English
Published: Sociedade Brasileira de Cardiologia (SBC) 2000-01-01
Series:Arquivos Brasileiros de Cardiologia
Subjects:
stress test
arterial hypertension
antihypertension therapy
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001000003
Description
Summary:OBJECTIVE: To evaluate the behavior of blood pressure during exercise in patients with hypertension controlled by frontline antihypertension drugs. METHODS: From 979ergometric tests we retrospectively selected 49 hipertensive patients (19 males). The age was 53±12 years old and normal range rest arterial pressure (<=140/90 mmHg) all on pharmacological monotherapy. There were 12 on beta blockers; 14 on calcium antagonists, 13 on diuretics and 10 on angiotensin converting enzyme inhibitor. Abnormal exercise behhavior of blood pressure was diagnosed if anyone of the following criteria was detected: peak systolic pressure above 220 mmHg, raising of systolic pressure > or = 10 mmHg/MET; or increase of diastolic pressure greater than 15 mmHg. RESULTS: Physiologic response of arterial blood pressure occurred in 50% of patients on beta blockers, the best one (p<0.05), in 36% and 31% on calcium antagonists and on diuretics, respectively, and in 20% on angiotensin converting enzyme inhibitor, the later the leastr one (p<0.05). CONCLUSION: Beta-blockers were more effective than calcium antagonists, diuretics and angiotensin-converting enzyme inhibitors in controlling blood pressure during exercise, and angiotensin converting enzyme inhibitors the least effective drugs.
ISSN:0066-782X
1678-4170

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