Prevalence and significance of postexercise hypotension in apparently healthy subjects

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Deutscher übersetzter Titel:Vorkommen und Bedeutung des Blutdruckabfalls nach koerperlicher Belastung bei offensichtlich gesunden Personen
Autor:Fleg, Jerome L.; Lakatta, Edward G.
Erschienen in:American journal of cardiology
Veröffentlicht:57 (1986), S. 1380-1384, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource
Sprache:Englisch
ISSN:0002-9149, 1879-1913
Schlagworte:
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Erfassungsnummer:PU198910040771
Quelle:BISp
id PU198910040771
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first_indexed 2003-12-30T14:09:05Z
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hierarchy_top_id JO00000000075
hierarchy_parent_id JOY19860000075
hierarchy_top_title American journal of cardiology
hierarchy_parent_title American journal of cardiology, 1986
is_hierarchy_id PU198910040771
is_hierarchy_title Prevalence and significance of postexercise hypotension in apparently healthy subjects
hierarchy_sequence 1380
recordtype bisparticle
publishDate 1986
publishDate_facet 1986
language eng
title Prevalence and significance of postexercise hypotension in apparently healthy subjects
spellingShingle Prevalence and significance of postexercise hypotension in apparently healthy subjects
Blutdruckabfall
Ergometerbelastung
Erholungsphase
Herz-Kreislauf-System
Hypotonie
Prognose
Sportmedizin
title_sort prevalence and significance of postexercise hypotension in apparently healthy subjects
title_short Prevalence and significance of postexercise hypotension in apparently healthy subjects
title_alt Vorkommen und Bedeutung des Blutdruckabfalls nach koerperlicher Belastung bei offensichtlich gesunden Personen
title_alt_lang deu
media_type Gedruckte Ressource
city New York (N.Y.)
abstract Although a decrease in systolic blood pressure (BP) occurring during treadmill exercise is often a sign of severe left ventricular dysfunction, the prevalence and significance of postexertional hypotension is unclear. The postexercise systolic BP response to maximal treadmill exercise was analyzed in 781 asymptomatic volunteers, aged 21 to 96 years from the Baltimore Longitudinal Study on Aging. Fifteen subjects (1.9 ) had a postexercise decrease in systolic BP of at least 20 mm Hg from preexercise sitting values, to a level of 90 mm Hg or less. The prevalence of postexercise hypotension was 3.1 (14 of 449) in subjects younger than 55 years, but only 0.3 (1 of 332) in those older than 55. Before exercise these 15 subjects demonstrated a slight orthostatic decrease in systolic BP of -1.7 +/- 4.8 mm Hg compared with an increase of 5.3 +/- 5.1 mm Hg in age-matched control subjects. The lowest systolic BP averaged 78 +/- 9 mm Hg (range 62 to 90) and occurred between 4 and 9 minutes after exercise in 80 of cases. All but 3 episodes were symptomatic, with dizziness dominant. In only 2 subjects was the hypotension associated with vagal symptoms and bradycardia. Compared with control subjects, subjects with postexercise hypotensionhad higher maximal heart rates (184 +/- 15 vs 173 +/- 11 beats/min, p <0.05), but showed no difference in exercise tolerance or systolic BP at submaximal or maximal effort. Postexercise ST-segment abnormalities suggesting ischemia occurred in one-third of the hypotensive subjects but none of the control subjects. No subject with hypotension experienced cardiovascular morbidity or mortality over a follow-up period averaging 4 years. Thus, in a general population, hypotension after treadmill exercise occurs primarily in younger persons with high maximal heart rates. It may be a cause for an ischemic electrocardiographic response but appears to have a benign prognosis. Verf.-Referat
abstract_lang eng
abstract_type abstract
author2 Fleg, Jerome L.
Lakatta, Edward G.
author_facet Fleg, Jerome L.
Lakatta, Edward G.
author2-role Autor
Autor
author2-authorityid

author_author_facet Fleg, Jerome L.
Lakatta, Edward G.
author2-synonym

author2_hierarchy_facet 0/Autor/
1/Autor/Fleg, Jerome L./
0/Autor/
1/Autor/Lakatta, Edward G./
issn 0002-9149
1879-1913
spelling 0002-9149
1879-1913
AJCDA
80014-4
Blutdruckabfall
Ergometerbelastung
Erholungsphase
Herz-Kreislauf-System
Hypotonie
Prognose
Sportmedizin
blood pressure decrease
cardiovascular system
ergometer load
hypotonia
prognosis
recovery phase
sports medicine
Regenerationsphase
Ruhe
Ruhephase
Prognose, individuelle
Belastung
Ergometertest
Kreislauf-System
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
decrease in blood pressure
blood pressure, drop in
ergometer exercise
Prevalence and significance of postexercise hypotension in apparently healthy subjects
PU198910040771
198910040771
coden AJCDA
zdb 80014-4
location_hierarchy_facet 0/USA/
1/USA/New York/
topic Blutdruckabfall
Ergometerbelastung
Erholungsphase
Herz-Kreislauf-System
Hypotonie
Prognose
Sportmedizin
topic_facet Blutdruckabfall
Ergometerbelastung
Erholungsphase
Herz-Kreislauf-System
Hypotonie
Prognose
Sportmedizin
topic_en blood pressure decrease
cardiovascular system
ergometer load
hypotonia
prognosis
recovery phase
sports medicine
topic_en_facet blood pressure decrease
cardiovascular system
ergometer load
hypotonia
prognosis
recovery phase
sports medicine
synonym Regenerationsphase
Ruhe
Ruhephase
Prognose, individuelle
Belastung
Ergometertest
Kreislauf-System
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
synonym_en decrease in blood pressure
blood pressure, drop in
ergometer exercise
journal_facet American journal of cardiology
container_title American journal of cardiology
container_volume 57
container_start_page S. 1380-1384
has_references 1
institution BISp
journal_fac JO00000000075
journal_year 1986
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score 13,26279