PP.02.29: CLINICAL OUTCOME OF HYPERTENSION THROUGH CARDIAC REHABILITATION. (June 2015)

• Record Type: Journal Article
• Authors: Alves, L.; Araújo, M.E.A.M.; Veiga, E.V.; Bachur, J.A.; Bachur, C.K.
• Is Part Of: Journal of hypertension. Volume 33(2015)Supplement 1
• Publication Date: 2015-06
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000467769.35090.5d
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: To report a case of hypertensive patient and describe the cardiovascular adaptations promoted by exercise in cardiac rehabilitation program under pharmacological treatment control after one year of treatment. Design and method: Male, 50, diagnosed with hypertension, asymptomatic from the cardiovascular point of view, in outpatient care. Drug treatment in use: Atenolol 100 mg / day and enalapril 20 mg / day. Physical examination: 80.0 kg; 170 cm; BMI: 27.68 kg / m2; eupneic; stained; hydrated; acyanotic; anicteric; head and neck: no palpable thyroid; members: without edema peripheral perfusion; clean lungs; regular heart rhythm; FC: 70 bpm at rest; BP 150/90 mmHg at rest. Admitted to the cardiac rehabilitation program in May / 2013. The rehabilitation sessions were held three times a week, lasting 30–50 minutes of aerobic exercise. Hemodynamic parameters of heart rate, blood pressure and oxygen saturation (SpO2) were assessed using frequency meter Polar brand, pulse oximeter (Nonin 9500) and BD sphygmomanometer, while the patient was exercising on a treadmill (Biocicle eletromagnetic 2600). Results: The patient had good adherence to the rehabilitation program, attending 100% of the sessions during the entire study period. After 1 year inserted in the cardiac rehabilitation sector, the patient underwent reassessment, which was observed reduction in HR at 13 bpm rest and a reduction in SBP of 40 mmHg, DBP remained the same values. There was also a reduction in medication use: Atenolol from 100 to 50 mg / day and maintained Enalapril 20 mg / day. Conclusions: There were adjustments to tissue metabolic needs with improvements in the redistribution of blood flow in the modulation of vagal tone, the ability to capture and metabolize oxygen, featuring a significant hypotensive effect presented by this case. Figure. No caption available.