Ambulatory blood pressure and Doppler echocardiographic indexes of borderline hypertensive men presenting an exaggerated blood pressure response during dynamic exercise

dc.date.accessioned2011-03-30T19:43:27Z
dc.date.available2011-03-30T19:43:27Z
dc.identifier.citationHERKENHOFF, F. L. et al. Ambulatory blood pressure and Doppler echocardiographic indexes of borderline hypertensive men presenting an exaggerated blood pressure response during dynamic exercise. Braz J Med Biol Res, Ribeirão Preto, v. 34, n. 10, p. 1285-1293, out. 2001. Disponível em: <http://www.scielo.br/pdf/bjmbr/v34n10/3705.pdf>. Acesso em: 01 mar. 2011.por
dc.identifier.doi10.1590/S0100-879X2001001000008
dc.identifier.issn1678-4510
dc.identifier.urihttp://repositorio.ufes.br/handle/10/645
dc.rightsopen accessen
dc.rightsopen access
dc.titleAmbulatory blood pressure and Doppler echocardiographic indexes of borderline hypertensive men presenting an exaggerated blood pressure response during dynamic exercisepor
dc.typearticleen
dcterms.abstractBorderline hypertension (BH) has been associated with an exaggerated blood pressure (BP) response during laboratory stressors. However, the incidence of target organ damage in this condition and its relation to BP hyperreactivity is an unsettled issue. Thus, we assessed the Doppler echocardiographic profile of a group of BH men (N = 36) according to office BP measurements with exaggerated BP in the cycloergometric test. A group of normotensive men (NT, N = 36) with a normal BP response during the cycloergometric test was used as control. To assess vascular function and reactivity, all subjects were submitted to the cold pressor test. Before Doppler echocardiography, the BP profile of all subjects was evaluated by 24-h ambulatory BP monitoring. All subjects from the NT group presented normal monitored levels of BP. In contrast, 19 subjects from the original BH group presented normal monitored BP levels and 17 presented elevated monitored BP levels. In the NT group all Doppler echocardiographic indexes were normal. All subjects from the original BH group presented normal left ventricular mass and geometrical pattern. However, in the subjects with elevated monitored BP levels, fractional shortening was greater, isovolumetric relaxation time longer, and early to late flow velocity ratio was reduced in relation to subjects from the original BH group with normal monitored BP levels (P<0.05). These subjects also presented an exaggerated BP response during the cold pressor test. These results support the notion of an integrated pattern of cardiac and vascular adaptation during the development of hypertension.eng
dcterms.creatorVieira, Fernando Luiz Herkenhoff
dcterms.creatorVasquez, Elisardo C. (Elisardo Corral)
dcterms.creatorMill, José Geraldo
dcterms.creatorLima, E. G.
dcterms.issued2001-10
dcterms.languageengen
dcterms.subjectEcocardiografia Dopplerpor
dcterms.subjectHipertensão borderlinepor
dcterms.subjectPressão arterialpor
dcterms.subjectMonitorização ambulatorial da pressão arterialpor
dcterms.subjectCardiovascular reactivityeng
dcterms.subjectLaboratory stress testeng
dcterms.subjectDoppler echocardiographyeng
dcterms.subjectBorderline hypertensioneng
dcterms.subjectBlood pressure monitoring, ambulatoryeng
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