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Hemodynamic patterns and duration of post-dynamic exercise hypotension in hypertensive humans

 

作者: RUECKERT PATRICIA,   SLANE PETER,   LILLIS DIANE,   HANSON PETER,  

 

期刊: Medicine and Science in Sports and Exercise  (OVID Available online 1996)
卷期: Volume 28, issue 1  

页码: 24-32

 

ISSN:0195-9131

 

年代: 1996

 

出版商: OVID

 

关键词: HYPERTENSION;TREADMILL EXERCISE;VASCULAR RESISTANCE;AMBULATORY BLOOD PRESSURE;CARDIAC OUTPUT

 

数据来源: OVID

 

摘要:

We investigated: 1) the mechanism of the hypotensive effect of a single bout of dynamic exercise in hypertensive subjects by measuring hemodynamic parameters before and for 2 h after treadmill exercise, and 2) the duration of the effect using ambulatory blood pressure (BP) monitoring once the subjects left the test site. Ten minutes after exercise there was a significant decrease from baseline systolic pressure (SP; -14 ± 3 mm Hg), mean arterial pressure (MAP; -7 ± 2 mm Hg), total peripheral resistance(TPR; -3.7 ± 1.2 units), calf vascular resistance (CVR; -25.4 ± 4.1 units), and an increase in HR (19 ± 2 bpm). The changes in SP, DP, MAP, and HR were maintained during the 2 h of post-exercise monitoring; CVR remained decreased for 1 h; TPR returned to baseline within 20 min and then tended to be slightly elevated. CO was significantly decreased at 50, 60, and 120 min after exercise. We conclude that the early decline in BP after dynamic exercise in hypertensive subjects follows a biphasic pattern: 1) an initial decrease in total and regional vascular resistance with maintained CO, 2) followed by increasing resistance and decrease CO. Pre-exercise hypertensive BP values returned during subsequent ambulatory monitoring.

 



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