The effect of cardiac rehabilitation on blood pressure, and on left atrial and ventricular functions in hypertensive patients
| Autor: | Nurten Sayar, Kursat Tigen, Emre Gürel, Ahmet Anıl Şahin, Murat Sunbul, Beste Ozben, Altug Cincin, Yelda Basaran, Ilker Yagci |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Ambulatory blood pressure business.industry medicine.drug_class medicine.medical_treatment Speckle tracking echocardiography 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Muscle hypertrophy 03 medical and health sciences 0302 clinical medicine Blood pressure Left atrial Internal medicine Ambulatory medicine Natriuretic peptide Cardiology Radiology Nuclear Medicine and imaging business |
| Zdroj: | Journal of clinical ultrasound : JCUREFERENCES. |
| ISSN: | 1097-0096 |
| Popis: | Purpose Hypertension is associated with left ventricular (LV) hypertrophy, impaired LV relaxation, and left atrial (LA) enlargement. Cardiac rehabilitation (CR) improves clinical outcomes in a broad spectrum of cardiac disease. The aim of our study was to determine the effect of CR on blood pressure (BP), and on LA and LV functions in hypertensive patients. Methods Thirty consecutive hypertensive patients who would undergo CR program, and 38 hypertensive patients who refused to undergo CR program were included. All patients underwent ambulatory BP monitoring and transthoracic echocardiography, which were repeated after completion of the CR program, or 12 weeks later in the control group. LA and LV functions were assessed by both speckle tracking and 3-dimensional echocardiography. N-terminal pro-brain natriuretic peptide (NT-proBNP) levels were assessed before and after CR. Results Although initial ambulatory BP values and NT-proBNP levels were similar between the groups, daily, day-time, and night-time BP and NT-proBNP were significantly lower in the CR group after rehabilitation. LA reservoir strain and LV global longitudinal strain of the CR group significantly increased after CR while no significant increase was observed in controls. Conclusion CR improves LA and LV strain while lowering BP and should be encouraged in routine management of hypertensive patients. |
| Databáze: | OpenAIRE |
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