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      Ergometry in the Assessment of Arterial Hypertension

      S. Karger AG
      Ergometry, Borderline Hypertensives, Hypertension, Response to exercise

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          The blood pressure behavior during and after ergometric exercise was investigated in 552 males in order to clarify if this standardized procedure is suitable for differentiating between normotensive subjects and hypertensive patients. Patients suffering from mild hypertension showed significantly (p < 0.001) higher blood pressures (213 ± 22/116 ± 11 mm Hg) at 100 W and after loading than age-matched normotensives (188 ± 14/92 ± 9 mm Hg) but significantly (p < 0.001) lower values than hypertensives with stable hypertension (225 ± 22/126 ± 11 mm Hg). Moreover, the systolic pressure response to ergometric work was significantly (p < 0.05 – p < 0.01) influenced by age. Using the normal upper limits for blood pressure during and after ergometry the ergometric procedure revealed that 50% of the patients with borderline hypertension at rest could be classified as hypertensives. Their blood pressure response at 100 W (216 ± 21/113 ± 8 mm Hg) did not significantly differ from the patients with mild hypertension. In contrast, in the 50% who reacted negatively to ergometric testing, the systolic blood pressure response at 100 W (204 ± 18 mm Hg) was significantly (p < 0.01) lower than that of those who demonstrated a positive reaction, revealing exactly the same diastolic blood pressure value of 92 mm Hg as the normotensives. The present study strongly suggests that the assessment of blood pressure during ergometric testing is quite useful in distinguishing between normotensive and hypertensive patients and in making estimates of blood pressure response to daily stress more accurate.

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          Author and article information

          S. Karger AG
          11 November 2008
          : 72
          : 3
          : 147-159
          Departments of Cardiology and Sports Medicine, Free University of Berlin, Berlin
          173856 Cardiology 1985;72:147–159
          © 1985 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          : 22 April 1984
          : 29 October 1984
          Page count
          Pages: 13
          Exercise Testing and Rehabilitation

          General medicine,Neurology,Cardiovascular Medicine,Internal medicine,Nephrology
          Response to exercise,Hypertension,Ergometry,Borderline Hypertensives


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