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      Physical Training Program in Arterial Hypertension


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          A long-term training program was performed on 30 chronic hypertensive female patients, stages I-II, WHO criteria. The effect on blood pressure (BP) and other physiological parameters, as exercise BP, heart rate, physical working capacity, VO<sub>2</sub><sub>max</sub>, double product, were studied. Four phases were outlined throughout the trial: (1)3 months training at 70% of the maximal heart rate; (2) 3 months without training; (3) 1 year training at the same level as phase I, and (4) 12 or more months with increasing intensity training over 70 % of the maximal heart rate. Serial ergometric work tests were performed every 3 months.We observed a close relationship between physical working capacity and VO<sub>2</sub><sub>max</sub> increases with training intensity. Resting BP fell significantly with training (182/114-161/97 mm Hg; p < 0.001) but increased again when training was discontinued (161/97-179/115 mm Hg; p < 0.001). BP persisted low throughout the trial, but there was a tendency to a further but not significant decrease when training intensity was raised over 70% of the maximal heart rate. Both the submaximal and maximal exercise BP showed similar changes to those found in the resting BP throughout the trial. The submaximal heart rate and the double product (BP X heart rate) also fell significantly with training but with maximal values not changing significantly throughout the whole follow-up period.

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          Author and article information

          S. Karger AG
          07 November 2008
          : 67
          : 4
          : 230-243
          Department of Cardiology, P. Jaraquemada Hospital, Santiago, Chile
          173248 Cardiology 1981;67:230–243
          © 1981 S. Karger AG, Basel

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          Page count
          Pages: 14
          Exercise Testing and Rehabilitation

          General medicine,Neurology,Cardiovascular Medicine,Internal medicine,Nephrology
          Arterial hypertension,Physical training,Long-term follow-up exercise blood pressure


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