Postexercise Hypotension after Heart Transplant

Abstract

HEx and LEx promoted similar reductions in ABP of heart transplant recipients, which suggests that they may be a tool to counteract hypertension in this high-risk population.

Hypotensive Effect of Heated Water-based Exercise in Older Individuals with Hypertension

“…Recent studies have suggested that HEx may be a superior alternative to traditional LEx for hypertension management, due to the large ambulatory BP reductions found after both 2 wk (average 12/9 mmHg reduction in 24-h systolic/diastolic BP) [21] and 12 wk (average 24/12 mmHg reduction in 24-h systolic/diastolic BP) [22] of training in patients with resistant hypertension, which were greater than the reductions found after 8-12 wk of LEx (average 6/3 mmHg reduction in daytime systolic/diastolic BP only) [18]. Although a previous study by our group showed that HEx and LEx promoted similar reductions in ambulatory BP in heart transplant recipients [4], a recent study showed greater resting BP reductions after HEx than LEx in both treated and untreated older hypertensives [2]. However, this previous study measured only resting BP up to 90 min after exercise cessation.…”

“…24-h ABP monitoring started 90 min after each intervention, at the same time of the day (11:00-11:30 a.m.), and was performed on a weekday other than Friday with a Dyna-Mapa™ ABP monitor (Cardios Sistemas Comercial e Industrial Ltda, Sao Paulo, Brazil), as previously described [4]. In brief, the monitor was programmed to measure BP every 15 min during daytime and every 20 min during nighttime periods (based on participants' time from getting into and out of bed).…”

“…Participants were also asked to document the time at work, hours of sleep, time at leisure activities, and time of medication. BP measurements were reviewed for missing and erroneous value readings by an experienced examiner who was blinded to the participants' intervention [4]. Average 24-h, daytime, nighttime, hourly BP (systolic and diastolic), and pressure load (percentage of systolic/diastolic BP measurements above 135/85 mmHg and 125/75 mmHg during daytime and nighttitime, respectively) were compared between interventions.…”

“…However, heated water-based exercise (HEx) has shown to promote important benefits for BP control in different populations [2,4,21,22]. For example, large BP reductions was found after 2 weeks (12/8 mmHg reduction in systolic/diastolic BP) [21] and 12 weeks (36/12 mmHg reduction in systolic/diastolic BP) [22] of HEx training in subjects with resistant hypertension, which were greater than the BP reductions found after a LEx training of similar dose (duration, volume, frequency and intensity) [18].…”

Prescribing high-intensity interval exercise by RPE in individuals with type 2 diabetes: metabolic and hemodynamic responses

“…24-h ABP monitoring started min after each intervention, at the same time of the day (5:00 to 6:00 p.m.), and was performed on a weekday other than Friday with a Dyna-Mapa ABP monitor (Cardio Sistemas Comercial e Industrial Ltda, Sao Paulo, Brazil), as previously described (Castro et al 2016). In brief, the monitor was programmed to measure BP every 15 min during daytime and every 20 min during nighttime periods (based on participants' time from getting into and out of bed).…”