Resposta da pressäo arterial ao esforço máximo em hipertensos sob diferentes esquemas terapêuticos / Response of blood pressure to maximum exercise in hypertensive patients under different therapeutic programs
Arq. bras. cardiol
;
75(4): 281-8, Oct. 2000. tab, graf
Artigo
em Português, Inglês
| LILACS
| ID: lil-272688
ABSTRACT
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 percent of patients on beta blockers, the best one (p<0.05), in 36 percent and 31 percent on calcium antagonists and on diuretics, respectively, and in 20 percent 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
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Pressão Sanguínea
/
Teste de Esforço
/
Hipertensão
/
Anti-Hipertensivos
Tipo de estudo:
Estudo observacional
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
2000
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal Fluminense/BR
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