scholarly journals Optimization of the Functional State of the Cardiovascular System in Women with A Complex of Dosage Physical Exertion

2021 ◽  
Vol 14 (2) ◽  
pp. 549-555
Author(s):  
Svetlana Yu. Zavalishina ◽  
Maria A. Vinichenko ◽  
Olga N. Makurina ◽  
Galina S. Mal
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Cardiovascular System ◽  
Functional State ◽  
Hypertensive Crisis ◽  
Physical Exertion ◽  
Muscle Training ◽  
Hypertensive Crises

In the second mature age, women increase the prevalence of arterial hypertension, often complicating hypertensive crises. This circumstance requires improving the recovery options for this category of patients. It seems very promising to be used for this in women with arterial hypertension regular physical exertion for the purpose of their overall recovery, reducing the level of blood pressure and the prevention of hypertensive crises. To easily be the effects of the hypertensive crisis, a complex of muscular loads was developed, the effectiveness of which was estimated in comparison with traditionally appointed patients in such patients of the recovery. Women were examined 36-55 years, who had over a month ago, hypertensive crisis. The women who have been rehabilitated under the author's scheme, have been rejected in the study, have shown a more pronounced improvement of the indicators registered in the study. The optimization of the function of the cardiovascular system turned out to be more pronounced than as a result of traditional recovery. The tested version of regular muscle training provides optimization of processes in the heart and vessels of women suffering from arterial hypertension, lowering the risk of repetition of their hypertensive crisis.

scholarly journals Arterial hypertension: Modern problems

2017 ◽  
Vol 95 (7) ◽  
pp. 581-585
Author(s):  
Igor N. Bokarev ◽  
P. A. Dulin ◽  
Yu. V. Ovchinnikov ◽  
V. B. Simonenko
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Blood Pressure Monitoring ◽  
Hypertensive Crisis ◽  
Elevated Blood ◽  
Pressure Monitoring ◽  
Hypertensive Disease ◽  
Early Stages ◽  
Hypertensive Crises

Arterial hypertension (AH) is one of the most common diseases. Despite numerous studies, many problems related to this pathology remain to be elucidated. The modern classifications of AHare contradictory and true causes of elevated blood pressure (BP) are unknown. There are no methods for diagnostics of early stages of AH nor is there adequateunderstanding of what hypertensive crises are, how they are to be classified and why they develop. Pathomorphosis of AH is practically unexplored. There are no efficient medications and therapies for the radical treatment of AH. The authors propose classification of hypertensive crisis, hypertensive disease, and symptomatic AH. It is recommended to use 24-hour blood pressure monitoring in all AH patients. New approaches to diagnostics of early stages of AH are proposed.

scholarly journals ANALYSIS OF RELATIONSHIP BETWEEN STRESS FACTOR AND FUNCTIONAL STATE OF CARDIOVASCULAR SYSTEM IN ADOLESCENTS

2020 ◽  
Vol 20 (2) ◽  
pp. 194-197
Author(s):  
O.A. Shaposhnyk ◽  
V.M. Sokolenko ◽  
N.S. Kopyt’ko ◽  
T.I. Shevchenko ◽  
I.P. Kudrya
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Cardiovascular System ◽  
Functional State ◽  
Circulatory System ◽  
Stroop Test ◽  
Stress Factor ◽  
Regulatory Systems ◽  
Before And After ◽  
The Relationship

A variety of factors influence the performance of schoolchildren. The main factors are psycho-emotional stress and systematic physical activity that requires a constant tension of body's regulatory systems aimed at mobilizing the functional body reserves. The analysis of blood pressure enables to estimate quantitative and qualitative changes in the regulation of the cardiovascular system. The combination of the Stroop test and the monitoring of the cardiovascular system make it possible to assess not only attention and cognitive function parameters, but the phases of the stress response of regulatory systems as well. The purpose of the study was to analyze the relationship between stress factor and the functional state of adolescent cardiovascular system. In the context of stress factor (Stroop test), the circulatory system of students gets activated, and its indicators vary differently among boys and girls. At rest, girls have the lowest performance of the circulatory system. Before the test, heart rates vary in boys and girls in different ways. In the course of our study, we have found out a direct relationship between heart rate, blood pressure before and after psycho-emotional load that testifies the predominance of the sympathoadrenal system activity. We have revealed the arterial hypertension is determined by physiological and social factors. Prevention of arterial hypertension in existing standards of schools requires reconsidering and improving of educational approaches, especially in terms of physical education.

scholarly journals Predictors of the development of cardiac arrhythmias in women after induction of superovulation in vitro fertilization

2020 ◽  
Vol 10 (5) ◽  
pp. 57-65
Author(s):  
Victoria V. Vakareva ◽  
Marina V. Avdeeva ◽  
Larisa V. Scheglova ◽  
Sergey A. Bondarev ◽  
Pavel B. Voronkov
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Cardiovascular System ◽  
Functional State ◽  
Blood Pressure Monitoring ◽  
Myocardial Oxygen Demand ◽  
Heart Rate Variability Analysis ◽  
Supraventricular Arrhythmias ◽  
Rate Profile

The article presents the results of a clinical and instrumental examination of 80 healthy women (average age 32,313,57 years) in order to assess the heart rhythm disturbances after induction of superovulation duringin vitrofertilization. All women were examined twice before and after induction of superovulation during extracorporeal fertilization. Clinical and instrumental examination included: electrocardiography at rest; echocardiography; 24-hour ECG monitoring with heart rate variability analysis; 24-hour blood pressure monitoring. Induction of superovulation is associated with a significant increase in mean daily HR max (р0,01), and consequently with an increase in myocardial oxygen demand. It has been established that induction of superovulation contributes to the development of supraventricular arrhythmias (р0,01) and an increase in episodes of apnea/hypnea (р0,01). Regression analysis revealed predictors of supraventricular arrhythmias after induction of superovulation, including adverse circadian heart rate profile, adverse circadian blood pressure profile, impaired autonomic regulation of heart activity (р0,01). It was shown that the appearance of rhythm disturbances is associated with both the initial functional state of the cardiovascular system and its response to the induction of superovulation. It was established a correlation between the estradiol concentration and the increase of daily average heart rate after induction of superovulation (r=0,30,р0,05), apnea/hypnea index after induction of superovulation (r=0,34,р0,05). Conclusion. Superovulation induction may exacerbate existing chronic cardiovascular diseases. Due to the adverse effect of superovulation induction on the daily heart rate profile, women need to evaluate the functional state of the cardiovascular system duringinvitrofertilization planning. This will prepare the woman for the upcoming procedure and avoid adverse reactions from the cardiovascular system in response to stimulation of superovulationin vitrofertilization.

Abstract P161: Inspiratory Muscle Training and Aerobic Training in the Treatment of Hypertension: Baroreflex Sensitivity, Sympathetic Activity and Endothelial Function Responses

Hypertension ◽  
2016 ◽  
Vol 68 (suppl_1) ◽  
Author(s):  
Janaina B Ferreira ◽  
Valéria Hong ◽  
Otávio Coelho ◽  
Silvia Cavasin ◽  
Fernando Santos ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Endothelial Function ◽  
Arterial Hypertension ◽  
Vascular Function ◽  
Sympathetic Activity ◽  
Baroreflex Sensitivity ◽  
Aerobic Training ◽  
Inspiratory Muscle ◽  
Inspiratory Muscle Training ◽  
Muscle Training

Arterial hypertension is associated to sympathetic hyperactivity and endothelial dysfunction. Aerobic training (AT) is highly recommended to improve vascular function minimizing complications and Inspiratory muscle training (IMT) has demonstrated beneficial effects in this population, especially improving cardiovascular autonomic control. We sought to observe the effects of both training modalities on baroreflex sensitivity, sympathetic activity and endothelial function, in patients with controlled arterial hypertension. 10 patients (55±4 years old, both genders) were included and allocated into two groups: IMT (n=5, 7days/week, 30min/day, load=30%PImax) and AT (n=5, 2days/week, 1hour/day, load=70%HRmax). Both training protocols were performed during 12 weeks. Blood pressure (BP) and heart rate (HR) signals were recorded before and after protocols, as well as the other evaluations, by pulse telemetry (Finometer®PRO) and ECG (PowerLab®). Arterial baroreflex sensitivity was analysed by sequence method. Sympathetic activity was evaluated by microneurography (PowerLab®) and the endothelial function was evaluated by flow mediated dilation (EnVisor CHD, Philips, Bothell, WA, USA). After 12 weeks treatment IMT improved baroreflex sensitvity to both tachycardic and bradycardic responses respectively (BRR Down Gain (mean): IMT=26.51(±1.7)vs15.57(±6.7), AT=13.94(±5.5)vs17.92(±1.6); BRR Up Gain (mean): IMT=17.16(±1.2)vs16.28(±1.1), AT=12.39(±5)vs12.69(±3.3)). Additionally, we observed reduction of sympathetic activity in both groups (IMT:33.23±11.79vs25.07±13.28; AT:29.88±7.07vs24.09±6.37) and improvement of endothelial function independent of the treatment (IMT:6.4±2.18vs7.22±2.08; AT:5.49±7.43vs7.06±3.12). Regarding the responses to inspiratory muscle training and aerobic training on autonomic cardiovascular control and endothelial function in Hypertension, we demonstrated for the first time that IMT and AT present quite similar effects in patients with controlled blood pressure.

scholarly journals Glycopenia - induced sympathoadrenal activation in diabetes mellitus and uncontrolled arterial hypertension: an observational study

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Abimbola Abobarin-Adeagbo ◽  
Andreas Wienke ◽  
Matthias Girndt ◽  
Rainer U. Pliquett
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Insulin Dose ◽  
Hypertensive Crisis ◽  
Plasma Norepinephrine ◽  
Arterial Blood ◽  
Group 3 ◽  
Group 2 ◽  
Group 1 ◽  
Diabetes Patients

Abstract Background Aim of this study is to investigate a possible association of hypoglycemic episodes and arterial hypertension. We hypothesize that hospitalized insulin-treated diabetes patients with hypertensive crisis have more hypoglycemic episodes than their counterparts without hypertensive crisis on admission. Methods In a prospective, observational cohort study, 65 insulin-treated diabetes patients (type 1, type 2, type 3c) were included in Group 1, when a hypertensive crisis was present, as control patients in Group 2 without hypertensive crisis or hypoglycemia, in Group 3, when a symptomatic hypoglycemia was present on admission. All patients were subjected to open-label continuous glucose monitoring, 24-h blood-pressure- and Holter electrocardiogram recordings, and to laboratory tests including plasma catecholamines. Results 53 patients, thereof 19 Group-1, 19 Group-2, 15 Group-3 patients, completed this study. Group-1 patients had the highest maximum systolic blood pressure, a higher daily cumulative insulin dose at admission, a higher body-mass index, and a higher plasma norepinephrine than control patients of Group 2. Group-3 patients had more documented hypoglycemic episodes (0.8 ± 0.5 per 24 h) than Group-2 patients (0.2 ± 0.3 per 24 h), however, they were not different to the ones in Group-1 patients (0.4 ± 0.4 per 24 h). Plasma norepinephrine and mean arterial blood pressure were higher Group-1 and Group-3 patients than in control patients of Group 2. At discharge, the daily cumulative insulin dose was reduced in Group-1 (− 18.4 ± 24.9 units) and in Group-3 patients (− 18.6 ± 22.7 units), but remained unchanged in Group-2 control patients (− 2.9 ± 15.6 units). Conclusions An association between hypoglycemic events and uncontrolled hypertension was found in this study.

scholarly journals Observation of adolescents with high blood pressure, involved in physical activity

2017 ◽  
Vol 8 (2) ◽  
pp. 16-19
Author(s):  
L. A Balykova ◽  
S. A Ivianskiy ◽  
A. A Shirokova ◽  
N. V Shchekina ◽  
K. A Varlashina
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Young People ◽  
Arterial Pressure ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Physical Exertion ◽  
Foreign Experience ◽  
Diagnostic Approaches ◽  
Points Of View

The article provides a brief overview of the literature data on the prevalence and causes of hypertension in athletes. Different points of view on the effect of regular physical exertion on the level of arterial pressure are considered. In addition, the available diagnostic approaches to the detection of high blood pressure are described. Based on the available data, domestic and foreign experience, oftimal algorithms for diagnosing arterial hypertension in young people involved in sports are presented.

scholarly journals Glycopenia-Induced Sympathoadrenal Activation in Diabetes Mellitus And Uncontrolled Arterial Hypertension: An Observational Study.

2020 ◽  
Author(s):  
Abimbola Abobarin-Adeagbo ◽  
Andreas Wienke ◽  
Matthias Girndt ◽  
Rainer U. Pliquett
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Insulin Dose ◽  
Hypertensive Crisis ◽  
Plasma Norepinephrine ◽  
Arterial Blood ◽  
Group 3 ◽  
Group 2 ◽  
Group 1 ◽  
Diabetes Patients

Abstract Background: Aim of this study is to investigate a possible association of hypoglycemic episodes and arterial hypertension. We hypothesize that hospitalized insulin-treated diabetes patients with hypertensive crisis have more hypoglycemic episodes than their counterparts without hypertensive crisis on admission.Methods: In a prospective, observational cohort study, 65 insulin-treated diabetes patients (type 1, type 2, type 3c) were included in Group 1, when a hypertensive crisis was present, as control patients in Group 2 without hypertensive crisis or hypoglycemia, in Group 3, when a symptomatic hypoglycemia was present on admission. All patients were subjected to open-label continuous flash glucose monitoring, to 24-hour blood-pressure and Holter electrocardiogram recordings, and to laboratory tests including plasma catecholamines. Results: 53 patients, thereof 19 Group-1, 19 Group-2, 15 Group-3 patients, completed this study. Group-1 patients had the highest maximum systolic blood pressure, a higher daily cumulative insulin dose at admission, a higher body-mass index, and a higher plasma norepinephrine than control patients of Group 2. Group-3 patients had more documented hypoglycemic episodes (0.8 ± 0.5 per 24 hours) than Group-2 patients (0.2 ± 0.3 per 24 hours), however, they were not different to the ones in Group-1 patients (0.4 ± 0.4 per 24 hours). Plasma norepinephrine and mean arterial blood pressure were not different between Group-1 and Group-3 patients, though higher than in Group-2 patients. At discharge, the daily cumulative insulin dose was reduced in Group-1 (-18.4 ± 24.9 units) and Group-3 patients (-18.6 ± 22.7 units), but remained unchanged in Group-2 patients (-2.9 ± 15.6 units).Conclusions: An association between hypoglycemic events and uncontrolled hypertension was found in this study.

scholarly journals Physicians’ assessment of the high blood pressure risk and their attitude towards the prevention of arterial hypertension

2012 ◽  
Vol 11 (6) ◽  
pp. 63-67
Author(s):  
A. E. Manoylov
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Target Organ Damage ◽  
Disease Model ◽  
Organ Damage ◽  
Preventive Strategy ◽  
Prediction And Prevention ◽  
Hypertensive Crises ◽  
And Training

Aim. To study the physicians’ knowledge of the high blood pressure (BP) risk and to assess their attitude towards the prevention of arterial hypertension (AH). Material and methods. In total, 118 internal disease specialists from three Russian regions participated in an anonymous questionnaire survey on the knowledge of high BP risk and the attitude towards the prevention of AH and its complications. The mean age of participants (13 men and 105 women) was 46,53±11,64 years. The respondents’ answers were compared to the information in the current clinical AH guidelines. Results. More than one-half of the respondents demonstrated inadequate professional knowledge on prediction and prevention of AH complications. These physicians use the “traditional” disease model and do not consider elevated BP as a risk factor; predict the risk of AH complications using subjective complaints of their patients; do not realise the importance of the target organ damage (TOD) prevention; and limit their preventive strategy only to the prevention of hypertensive crises. Conclusion. The demonstrated attitude towards AH management could be a serious barrier for effective AH prevention. This group of physicians needs extensive education and training, in order to modify their attitude and to increase their commitment to preventive strategies.

scholarly journals Estimation of functional state in patients with hypertension with various disease duration

2009 ◽  
Vol 15 (3) ◽  
pp. 330-334
Author(s):  
A. Bursikov
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Disease Duration ◽  
Physical Exertion ◽  
Systolic Arterial Pressure ◽  
Functional Condition ◽  
Healthy Men ◽  
Long Duration ◽  
Submaximal Heart Rate ◽  
Apparently Healthy

The object: to estimate functional condition of men with arterial hypertension of various disease length using veloergometry. Materials and methods. 86 men with arterial hypertension of 1 degree of various duration were examined: 60 men with the disease length 1,5 ± 0,2 year and 26 men with the disease length 8,0 ± 1,6 year, and 25 apparently healthy men were included. The standardized veloergometry was performed in all subjects using step-by-step increasing technique till either submaximal heart rate or limiting criteria were achieved. Results. Patients with long duration of arterial hypertension show reduced physical exertion tolerance, greater increase of systolic arterial pressure at small, average and high exertion power as compared to patients with short anamnesis of hypertension. They also have greater oxygen consumption by myocardium and its greater increment at average exertion power if compared to the rest level. The veloergometry test was discontinued due to the top level of systolic blood pressure, which occurred more often in this group.

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