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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2000-01-01
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| Series: | Arquivos Brasileiros de Cardiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001000003 |
| _version_ | 1819133008669573120 |
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| author | Carreira Maria Angela Magalhães de Queiroz Ribeiro Jamila Costa Caldas José Antônio Tavares Leandro Reis Nani Eduardo |
| author_facet | Carreira Maria Angela Magalhães de Queiroz Ribeiro Jamila Costa Caldas José Antônio Tavares Leandro Reis Nani Eduardo |
| author_sort | Carreira Maria Angela Magalhães de Queiroz |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T09:40:28Z |
| format | Article |
| id | doaj.art-2f7934e66d194096a397d2bbb7b3b6c2 |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-22T09:40:28Z |
| publishDate | 2000-01-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-2f7934e66d194096a397d2bbb7b3b6c22022-12-21T18:30:43ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702000-01-01754285288Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programsCarreira Maria Angela Magalhães de QueirozRibeiro Jamila CostaCaldas José AntônioTavares Leandro ReisNani EduardoOBJECTIVE: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001000003stress testarterial hypertensionantihypertension therapy |
| spellingShingle | Carreira Maria Angela Magalhães de Queiroz Ribeiro Jamila Costa Caldas José Antônio Tavares Leandro Reis Nani Eduardo Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs Arquivos Brasileiros de Cardiologia stress test arterial hypertension antihypertension therapy |
| title | Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs |
| title_full | Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs |
| title_fullStr | Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs |
| title_full_unstemmed | Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs |
| title_short | Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs |
| title_sort | response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs |
| topic | stress test arterial hypertension antihypertension therapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000001000003 |
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