Aftereffects of Exercise on Regional and Systemic Hemodynamics in Hypertension

Several studies have indicated that a single bout of physical exercise induced a significant antihypertensive effect during the hours after the activity. However, little information is presently available on the underlying hemodynamic changes. We examined 13 essential hypertensive patients and nine...

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Veröffentlicht in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 1992-02, Vol.19 (2), p.183-191
Hauptverfasser: Cléroux, Jean, Kouamé, NʼGuessan, Nadeau, André, Coulombe, Denis, Lacourcière, Yves
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container_end_page 191
container_issue 2
container_start_page 183
container_title Hypertension (Dallas, Tex. 1979)
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creator Cléroux, Jean
Kouamé, NʼGuessan
Nadeau, André
Coulombe, Denis
Lacourcière, Yves
description Several studies have indicated that a single bout of physical exercise induced a significant antihypertensive effect during the hours after the activity. However, little information is presently available on the underlying hemodynamic changes. We examined 13 essential hypertensive patients and nine nonnotensive subjects in a randomized, crossover study design during 3 hours after a 30-minute period of upright leg cycling at 50% of peak aerobic capacity and during 3 hours after a 30-minute control period of rest Blood pressure, heart rate, cardiac output, total peripheral resistance, and regional vascular resistance in the forearm as well as venous plasma catecholamine concentrations were measured repeatedly. After exercise, systolic (−11±2 mm Hg) and diastolic (−4±1 mm Hg) blood pressures, total peripheral resistance (−27±5%), forearm vascular resistance (−25±6%), and plasma norepinephrine levels (−21±7%) were significantly (p
doi_str_mv 10.1161/01.hyp.19.2.183
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In contrast, in normotensive subjects blood pressure, forearm vascular resistance, and plasma norepinephrine were unchanged, and systemic hemodynamics changed to a lesser extent than in hypertensive subjects after exercise. It is concluded that a decrease in regional vascular resistance in skeletal muscles and possibly in the skin in hypertensive patients may contribute importantly to the antihypertensive effect of prior exercise. A decreased sympathetic nervous activity, as seen from lower plasma norepinephrine levels, may be involved in this effect.</description><subject>Adult</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Exercise</subject><subject>Female</subject><subject>Forearm - blood supply</subject><subject>Heart Rate</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Hypertension - blood</subject><subject>Hypertension - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Norepinephrine - blood</subject><subject>Random Allocation</subject><subject>Reference Values</subject><subject>Regional Blood Flow</subject><issn>0194-911X</issn><issn>1524-4563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMuLFDEQh4Mo67h69iTkIN66N5Vn57gsqyMsKj5ATyGbVJzWfswmPaz935tlBs2lkqqvfpCPkJfAWgANFwza3bpvwba8hU48IhtQXDZSafGYbBhY2ViA70_Js1J-MQZSSnNGzsAIo5XYkA-XacGMKWFYCp0Tvf6DOfQF6TzRz_iznyc_UD9F-mUtC459oFsc57hOvt4L7Se6XfeYF5xKZZ-TJ8kPBV-c6jn59vb669W2ufn47v3V5U0TlGa2UTyyFAMkEWWMUQsTb3nnvZc-diCjBsF9QOYxGYlc887EaJVXkLSJUopz8uaYu8_z3QHL4sa-BBwGP-F8KM5wY03XqQpeHMGQ51LqR90-96PPqwPmHgw6Bm7745MD67irBuvGq1P04XbE-J8_Kqvz16e5L8EPKfup-vqHKa6YMKxi8ojdz0M1XH4Ph3vMbod-WHaO1SO57hqwljNeX81Dy4q_RLyJhw</recordid><startdate>199202</startdate><enddate>199202</enddate><creator>Cléroux, Jean</creator><creator>Kouamé, NʼGuessan</creator><creator>Nadeau, André</creator><creator>Coulombe, Denis</creator><creator>Lacourcière, Yves</creator><general>American Heart Association, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199202</creationdate><title>Aftereffects of Exercise on Regional and Systemic Hemodynamics in Hypertension</title><author>Cléroux, Jean ; Kouamé, NʼGuessan ; Nadeau, André ; Coulombe, Denis ; Lacourcière, Yves</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5609-52d0fdc1f3d4ddd637db28aaa4ad814d6132ace0aef74e26287dd95a51f67d443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Arterial hypertension. 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Etiology</topic><topic>Exercise</topic><topic>Female</topic><topic>Forearm - blood supply</topic><topic>Heart Rate</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Hypertension - blood</topic><topic>Hypertension - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Norepinephrine - blood</topic><topic>Random Allocation</topic><topic>Reference Values</topic><topic>Regional Blood Flow</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cléroux, Jean</creatorcontrib><creatorcontrib>Kouamé, NʼGuessan</creatorcontrib><creatorcontrib>Nadeau, André</creatorcontrib><creatorcontrib>Coulombe, Denis</creatorcontrib><creatorcontrib>Lacourcière, Yves</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cléroux, Jean</au><au>Kouamé, NʼGuessan</au><au>Nadeau, André</au><au>Coulombe, Denis</au><au>Lacourcière, Yves</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aftereffects of Exercise on Regional and Systemic Hemodynamics in Hypertension</atitle><jtitle>Hypertension (Dallas, Tex. 1979)</jtitle><addtitle>Hypertension</addtitle><date>1992-02</date><risdate>1992</risdate><volume>19</volume><issue>2</issue><spage>183</spage><epage>191</epage><pages>183-191</pages><issn>0194-911X</issn><eissn>1524-4563</eissn><coden>HPRTDN</coden><abstract>Several studies have indicated that a single bout of physical exercise induced a significant antihypertensive effect during the hours after the activity. 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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Adult
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Exercise
Female
Forearm - blood supply
Heart Rate
Hemodynamics
Humans
Hypertension - blood
Hypertension - physiopathology
Male
Medical sciences
Norepinephrine - blood
Random Allocation
Reference Values
Regional Blood Flow
title Aftereffects of Exercise on Regional and Systemic Hemodynamics in Hypertension
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