scholarly journals RESPOSTAS HEMODINÂMICAS DO MÉTODO PILATES EM HIPERTENSOS: UMA REVISÃO SISTEMÁTICA

2019 ◽  
Vol 27 (4) ◽  
pp. 219
Author(s):  
Leonando Pedro Pereira Da Costa ◽  
Gabriela Dos santos ◽  
Patrícia Haas ◽  
Renato Claudino ◽  
Ana Inês Gonzáles

Objetivo: levantar na literatura atual, estudos relevantes que identifiquem as possíveis respostas hemodinâmicas encontradas em indivíduos hipertensos praticantes do Método Pilates. Materiais e Métodos: Pesquisa de revisão sistemática conduzida conforme as recomendações PRISMA em cinco bases de dados eletrônicas (PEDro, PubMed, SciELO, LILACS e Cochrane), disponibilizado desde o início das bases até Março de 2019, com descritores do dicionário MESH conforme segue: [(“Adult” OR “Young adult” OR “Middle Aged” OR “Aged” OR “Elderly”) AND (“exercise movement techniques” OR “Pilates-Based Exercises” OR “Pilates Training”) AND (“Hemodynamics” OR “Heart Rate” OR “Cardiac Chronotropy” OR “Heart Rate Control” OR “hypertension” OR “Blood Pressure” OR “High Blood Pressure” OR “Systolic Pressure” OR “Diastolic Pressure” OR “High Blood Pressure” OR “Pulse Rate Determination”)], posteriormente ajustado para as demais bases. Busca complementar manual nas referências dos artigos incluídos na pesquisa e no Google Scholar. Foram incluídos estudos de intervenção, com indivíduos de idade maior ou igual a 18 anos; diagnóstico de hipertensão arterial sistêmica (HAS); que tenham sido submetidos a exercícios de pilates solo e/ou pilates aparelhos como método de intervenção e incluído a descrição de análise das variáveis hemodinâmicas de pressão arterial (PA), frequência cardíaca (FC) e duplo produto (DP). Resultados: Após processo de seleção foi selecionado apenas um único estudo que tenha contemplado todos os critérios de elegibilidade, totalizando 44 indivíduos do sexo feminino, com média de idade de 50,5 anos (±6,3 anos), hipertensas com utilização de medicação, onde 22 foram submetidas ao pilates solo e 22 permaneceram no grupo controle. O estudo apresentou resultados positivos na frequência cardíaca (FC), pressão arterial (PA) e no duplo-produto (DP) em comparação ao grupo controle. Conclusão: O Mat pilates pode ser um método aplicável e hemodinamicamente em pacientes com HAS, entretanto, novos estudos devem ser realizados para a confirmação dos achados.

1999 ◽  
Vol 90 (3) ◽  
pp. 681-692 ◽  
Author(s):  
Joel L. Parlow ◽  
Gerard Begou ◽  
Pierre Sagnard ◽  
Jean Marie Cottet-Emard ◽  
Jean Claude Levron ◽  
...  

Background Patients with essential hypertension show altered baroreflex control of heart rate, and during the perioperative period they demonstrate increased circulatory instability. Clonidine has been shown to reduce perioperative circulatory instability. This study documents changes in measures of heart rate control after surgery in patients with essential hypertension and determines the effects of clonidine on postoperative heart rate control in these patients. Methods Using a randomized double-blind placebo-controlled design, 20 patients with essential hypertension (systolic pressure >160 mm Hg or diastolic pressure >95 mm Hg for > or =1 yr) were assigned to receive clonidine (or placebo), 6 microg/kg orally 120 min before anesthesia and 3 microg/kg intravenously over 60 min before the end of surgery. The spontaneous baroreflex ("sequence") technique and analysis of heart rate variability were used to quantify control of heart rate at baseline, before induction of anesthesia, and 1 and 3 h postoperatively. Results Baroreflex slope and heart rate variability were reduced postoperatively in patients given placebo but not those given clonidine. Clonidine resulted in greater postoperative baroreflex slope and power at all frequency ranges compared with placebo (4.9+/-2.9 vs. 2.2+/-2.1 ms/mm Hg for baroreflex slope, 354+/-685 vs. 30+/-37 ms2/Hz for high frequency variability). Clonidine also resulted in lower concentrations of catecholamine, decreased mean heart rate and blood pressure, and decreased perioperative tachycardia and hypertension. Conclusions Patients with hypertension exhibit reduced heart rate control during the recovery period after elective surgery. Clonidine prevents this reduction in heart rate control. This may represent a basis for the improved circulatory stability seen with perioperative administration of clonidine.


Molecules ◽  
2021 ◽  
Vol 26 (12) ◽  
pp. 3568
Author(s):  
Bernardita Cayupe ◽  
Carlos Morgan ◽  
Gustavo Puentes ◽  
Luis Valladares ◽  
Héctor Burgos ◽  
...  

Prenatally malnourished rats develop hypertension in adulthood, in part through increased α1-adrenoceptor-mediated outflow from the paraventricular nucleus (PVN) to the sympathetic system. We studied whether both α1-adrenoceptor-mediated noradrenergic excitatory pathways from the locus coeruleus (LC) to the PVN and their reciprocal excitatory CRFergic connections contribute to prenatal undernutrition-induced hypertension. For that purpose, we microinjected either α1-adrenoceptor or CRH receptor agonists and/or antagonists in the PVN or the LC, respectively. We also determined the α1-adrenoceptor density in whole hypothalamus and the expression levels of α1A-adrenoceptor mRNA in the PVN. The results showed that: (i) agonists microinjection increased systolic blood pressure and heart rate in normotensive eutrophic rats, but not in prenatally malnourished subjects; (ii) antagonists microinjection reduced hypertension and tachycardia in undernourished rats, but not in eutrophic controls; (iii) in undernourished animals, antagonist administration to one nuclei allowed the agonists recover full efficacy in the complementary nucleus, inducing hypertension and tachycardia; (iv) early undernutrition did not modify the number of α1-adrenoceptor binding sites in hypothalamus, but reduced the number of cells expressing α1A-adrenoceptor mRNA in the PVN. These results support the hypothesis that systolic pressure and heart rate are increased by tonic reciprocal paraventricular–coerulear excitatory interactions in prenatally undernourished young-adult rats.


1991 ◽  
Vol 261 (1) ◽  
pp. R1-R8 ◽  
Author(s):  
A. V. Ferguson ◽  
P. Smith

Experiments were designed to examine the autonomic mechanisms underlying the decreases in blood pressure and heart rate elicited by electrical stimulation in the rat area postrema (AP). Vagotomy was found to significantly reduce the bradycardia observed in response to AP stimulation (control -123.5 +/- 23.5 beats/min; vagotomized -7 +/- 5.4 beats/min; P less than 0.001) but was without significant effect on blood pressure responses. Hexamethonium significantly reduced both heart rate (control -225.5 +/- 11.9 beats/min; hexamethonium -5.5 +/- 2.8 beats/min; P less than 0.001) and depressor (control -35.4 +/- 4.7 mmHg; hexamethonium -6.4 +/- 0.8 mmHg; P less than 0.001) responses to such stimulation, whereas combined alpha- and beta-adrenergic blockade was without effect. The muscarinic blocking agent atropine also abolished both blood pressure (control -22.0 +/- 4.3 mmHg; atropine 2.8 +/- 4.4 mmHg; P less than 0.01) and heart rate (control -187.0 +/- 41.9 beats/min; atropine 8.8 +/- 2.6 beats/min; P less than 0.01) responses to AP stimulation. These data suggest that AP stimulation influences two separate neural pathways eliciting distinct cardiovascular responses. It would appear that activation of one of these pathways results in activation of vagal efferents to the heart and thus bradycardia. A second parallel pathway influenced by AP stimulation apparently elicits depressor response through actions on cholinergic muscarinic receptors.


1981 ◽  
Vol 61 (s7) ◽  
pp. 373s-375s ◽  
Author(s):  
P. D. Arkwright ◽  
L. J. Beilin ◽  
I. Rouse ◽  
B. K. Armstrong ◽  
R. Vandongen

1. The association between alcohol consumption and blood pressure was studied in 491 Government employees. The men, aged 21–45 years, volunteered to complete a health questionnaire and submitted to standardized measurements of blood pressure, heart rate and body size. 2. Average weekly alcohol consumption correlated with systolic pressure (r = 0.18, P < 0.001) but not with diastolic pressure. Systolic pressure increased progressively with increasing alcohol consumption with no obvious threshold effect. The effect of alcohol was independent of age, obesity (Quetelet's index) or cigarette smoking. 3. Results indicate that alcohol ranks close to obesity as a preventable cause of essential hypertension in the community.


1990 ◽  
Vol 2 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Karen L. Nau ◽  
Victor L. Katch ◽  
Robert H. Beekman ◽  
Macdonald Dick

Intraarterial blood pressure (BP) response to bench press weight lifting (WL) was evaluated in 11 children. Aortic systolic and diastolic pressures and heart rate (HR) were measured during WL. Baseline systolic and diastolic pressures were 120 and 81 mmHg, and HR was 86 bpm. Subjects lifted to voluntary fatigue weights equaling 60, 75, 90, and 100% of their predetermined one-repetition maximum (1RM). For each weight lifting condition, BP and HR increased as more repetitions were completed. Peak systolic pressure was 168, 177, 166, and 162 mmHg, peak diastolic pressure was 125, 139, 133, and 130 mmHg, and peak heart rate was 142, 148, 142, and 139 bpm at 60, 75, 90, and 100% 1RM, respectively. Peak BP and HR were greater during WL than rest but did not differ between conditions. The relative BP response to WL in children was similar to adult values. For all conditions, pressures increased as more repetitions were completed. It was concluded that peak pressures occur at voluntary fatigue, independent of the combination of resistance and repetitions used to achieve fatigue.


2022 ◽  
Vol 28 (1) ◽  
pp. 27-30
Author(s):  
Keyin Liu

ABSTRACT Introduction: Basketball can enhance the physical fitness of young people, promote the growth and development of their bodies, and improve health and athletic ability. Objective: To explore the characteristics of basketball players’ cardiac response to increasing load training. Methods: By analyzing 12 juvenile male amateur basketball training athletes, when performing incremental load exercises on the treadmill, using a 12-lead electrocardiograph to record the electrocardiogram, HR, and blood pressure responses for each level of exercise. Results: The mean heart rate of the basketball players before movement was 82.45± 11.44 bpm, slightly higher than the heart rate at rest. Depending on the exercise load, the blood pressure should increase by 5 to 12 mmHg. Under different load training conditions, each level of blood pressure in the Bruce treadmill test procedure should increase 12.5 ~ 44mmHg. The basketball player’s systolic pressure increased by 2.25 ~ 15.7mmHg, diastolic pressure increased by 0.43 to 11.37 mmHg. Conclusions: In basketball players, the psychological stress is less than that of the average person performing the same exercise. The strong ability to adapt to exercise under incremental load training, the contractility of the ventricular muscles and the development of the heart are good. Level of evidence II; Therapeutic studies - investigation of treatment results.


1957 ◽  
Vol 188 (2) ◽  
pp. 383-386 ◽  
Author(s):  
Harold S. Weiss ◽  
Robert K. Ringer ◽  
Paul D. Sturkie

In order to establish the age and manner in which the sex difference in blood pressure of the adult white leghorn chicken develops, periodical blood pressure measurements were made on chicks between 3 and 34 weeks of age. There were no consistent differences in pressure between the sexes under 8 weeks of age. Between the 8th and 13th weeks, pressures began to diverge, and within 4–8 weeks a 26–30-mm sex difference in systolic pressure developed. Significant divergences occurred also in diastolic and pulse pressure. The sex divergence was due primarily to a rise in male pressure, the female level remaining comparatively stable. Net changes in male parameters during the period of rapid development of the sex difference in pressure were: body weight + 219 gm, systolic pressure + 26 mm, diastolic pressure + 16 mm and heart rate –22/ min. The age at which the sex difference in pressure begins and its rate of development appear to be related to sexual maturation in the male. However, no significant correlation between the rising male pressure and testes or comb size could be shown. Normal chick blood pressure values prior to the sex divergence differ within strains of white leghorns and for the two groups used here, between 7 and 9 weeks of age, were 150/130 and 162/136 mm Hg.


1995 ◽  
Vol 268 (6) ◽  
pp. H2232-H2238 ◽  
Author(s):  
J. K. Triedman ◽  
M. H. Perrott ◽  
R. J. Cohen ◽  
J. P. Saul

Fourier-based techniques are mathematically noncausal and are therefore limited in their application to feedback-containing systems, such as the cardiovascular system. In this study, a mathematically causal time domain technique, autoregressive moving average (ARMA) analysis, was used to parameterize the relations of respiration and arterial blood pressure to heart rate in eight humans before and during total cardiac autonomic blockade. Impulse-response curves thus generated showed the relation of respiration to heart rate to be characterized by an immediate increase in heart rate of 9.1 +/- 1.8 beats.min-1.l-1, followed by a transient mild decrease in heart rate to -1.2 +/- 0.5 beats.min-1.l-1 below baseline. The relation of blood pressure to heart rate was characterized by a slower decrease in heart rate of -0.5 +/- 0.1 beats.min-1.mmHg-1, followed by a gradual return to baseline. Both of these relations nearly disappeared after autonomic blockade, indicating autonomic mediation. Maximum values obtained from the respiration to heart rate impulse responses were also well correlated with frequency domain measures of high-frequency "vagal" heart rate control (r = 0.88). ARMA analysis may be useful as a time domain representation of autonomic heart rate control for cardiovascular modeling.


2015 ◽  
Vol 7 ◽  
pp. OED.S20960 ◽  
Author(s):  
Kyriakoula Merakou ◽  
Georgia Varouxi ◽  
Anastasia Barbouni ◽  
Eleni Antoniadou ◽  
Georgios Karageorgos ◽  
...  

Introduction Music has been proposed as a safe, inexpensive, nonpharmacological antistress intervention. The purpose of this study was to determine whether patients undergoing cataract surgery while listening to meditation music experience lower levels of blood pressure and heart rate. Methods Two hundred individuals undergoing cataract surgery participated in the study. Hundred individuals listened to meditation music, through headphones, before and during the operation (intervention group) and 100 individuals received standard care (control group). Patients stress coping skills were measured by the Sense of Coherence Scale (SOC Scale). Systolic and diastolic blood pressure and heart rate were defined as outcome measures. Results According to the SOC Scale, both groups had similar stress coping skills (mean score: 127.6 for the intervention group and 127.3 for the control group). Before entering the operating room (OR) as well as during surgery the rise in systolic and diastolic pressures was significantly lower in the intervention group ( P < 0.001). Among patients receiving antihypertensive therapy, those in the intervention group presented a lower increase only in systolic pressure ( P < 0.001) at both time recordings. For those patients in the intervention group who did not receive antihypertensive treatment, lower systolic blood pressure at both time recordings was recorded ( P < 0.001) while lower diastolic pressure was observed only during entry to the OR ( P = 0.021). Heart rate was not altered between the two groups in any of the recordings. Conclusions Meditation music influenced patients' preoperative stress with regard to systolic blood pressure. This kind of music can be used as an alternative or complementary method for blood pressure stabilizing in patients undergoing cataract surgery.


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