gms | German Medical Science

28. Wissenschaftlicher Kongress der Deutschen Hochdruckliga

24. bis 27.11.2004, Hannover

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The Influence Of Life Style Modification On Cardiovascular Riskstratification Of Hypertensive Patients

Der Einfluss von Lebensstiländerung/Allgemeinmaßnahmen auf die Risikostratifizierung von Hochdruckkranken

Meeting Abstract (Hypertonie 2004)

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

Hypertonie 2004. 28. Wissenschaftlicher Kongress der Deutschen Hochdruckliga. Hannover, 24.-27.11.2004. Düsseldorf, Köln: German Medical Science; 2005. Doc04hochP112

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hoch2004/04hoch112.shtml

Published: August 10, 2005

© 2005 Müller et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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Life style modification (general treatment) can reduce blood pressure (B.P.) and other established risk factors. The aim of this study was to verify the influence of a 25-day life style modification period for the individual cardiovascular risk in hypertensives and therefore for cardiovascular morbitity and mortality.

Before and after a 25-day cardiac rehabilitation program, casual blood pressure (CBP) readings were obtained (>140/>90 mmHg three times consecutively as well) of 1101 patients (531 females, 570 males, mean age 51.1±9.3 years). On the same day, all the patients underwent an exercise testing and an ABPM additionally. According to the initial CBP, 966 patients were hypertensives, 54 were normotensives. 81 patients were not accepted for analysis as they could not be properly classified (³140/<90 mmHg, <140/³90). An ABPM (SpaceLabs 90207) and an ergometric exercise test (50 to 100 watts) were performed additionally. After blood samples were obtained (beginning one day later, end one day before), a risk score was defined. Each risk point was counted for gender depending on age (females >65 y., males >65 y), smoking, diabetes, total cholesterol, lack of aerobic exercise and overweight (BMI >30 kgm-2).

Table 1 (Individual risk reduction) [Tab. 1]

The mean risk score was significantly reduced from 3.83 to 2.08 (= 45.8%).

Their was a significant reduction of all of the risk factors included in the score. These effects were more pronounced in hypertensives than in normotensives.

This study shows that life style modification leads to a reduction of total cardiovascular risk in hypertensives to an extent by far exceeding the mere BP reduction. Life style modification should be seriously recommended in individual riskstratification, especially in hypertensives.