gms | German Medical Science

27. Wissenschaftlicher Kongress der Deutschen Hochdruckliga

Deutsche Liga zur Bekämpfung des hohen Blutdrucks – Deutsche Hypertonie Gesellschaft e. V.

26. bis 29.11.2003, Bonn

Einfluss des Körpergewichtes auf den Blutdruck während Ergometrie bei Patienten mit normotensiver ABDM

The Influence Of Body Weight On Blood Pressure Response To Exercise In Patients With Normotensive ABPM Values

Meeting Abstract (Hypertonie 2003)

Suche in Medline nach

  • presenting/speaker J.F.M Müller - Klinik Wehrawald der BfA (Todtmoos, D)
  • I.W. Franz - Klinik Wehrawald der BfA (Todtmoos, D)

Hypertonie 2003. 27. Wissenschaftlicher Kongress der Deutschen Hochdruckliga. Bonn, 26.-29.11.2003. Düsseldorf, Köln: German Medical Science; 2004. Doc03hochP43

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hoch2003/03hoch143.shtml

Veröffentlicht: 11. November 2004

© 2004 Müller et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background

A hypertensive blood pressure (BP) response is known as a more reliable predictor for LVH and cardiovascular mortality compared to casual BP. Obese patients have an increased cardiovascular risk. One reason could be a hypertensive BP response only during exercise.

Methods

1466 persons underwent an ABPM and a group of 557 (f: 317, m: 240, age: 48.7±11.7y.) was identified as normotensive (daytime=135/=85mmHg, SpaceLabs 90207). All patients underwent standardized ergometry (50-100watts, 5 min recovery period), echocardiography and were finally arbitrarily divided into 3 groups according to their BMI [Tab. 1].

Results

Despite clear normotensive BP values during ABPM and comparable heart rates, the percentage of patients with a hypertensive BP response during ergometry (ExBP+, >200/>100 mmHg at 100 watts) increased significantly (p<0.001) according to their increased BMI and was accompanied by a significantly (p<0.01 - p<0.001) higher LVMI compared to patients with normal exercise BP (ExBP-).

Patients with increased ExBP showed significantly higher (p<0.05 - 0.001) ldl-cholesterol and triglyceride levels and significantly lower hdl-cholesterol levels.

Conclusions

Despite normotensive BP during ABPM, obese patients frequently show a pathologically increased BP response during standardized ergometry. This increased BP response to exercise has an influence not only on LVMI, but also on cardiovascular mortality, and should therefore be assessed in obese patients.