Ergometric principles of cardiovascular function assessment in arterial hypertension

Aim. To investigate hemodynamic and ergometric parameters and their agreement with metabolic demand during veloergometry in patients with Stage I-II arterial hypertension (AH). Material and methods. In total, 80 18-59-year-old men, with Stage I-II AH were examined, together with 25 healthy men of co...

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Main Authors: A. V. Bursikov, E. Sh. Valiulina, L. N. Birtseva
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2011-04-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1588
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author A. V. Bursikov
E. Sh. Valiulina
L. N. Birtseva
author_facet A. V. Bursikov
E. Sh. Valiulina
L. N. Birtseva
author_sort A. V. Bursikov
collection DOAJ
description Aim. To investigate hemodynamic and ergometric parameters and their agreement with metabolic demand during veloergometry in patients with Stage I-II arterial hypertension (AH). Material and methods. In total, 80 18-59-year-old men, with Stage I-II AH were examined, together with 25 healthy men of comparable body weight. All participants underwent standard veloergometry, with achievement of sub-maximal heart rate (HR), or development of test-termination criteria, such as excess blood pressure (BP) elevation, dyspnoea, or fatigue. Results. A significant increase in myocardial oxygen consumption, disagreeing with metabolic demand, was observed both at rest and during veloergometry test. The qualitative criteria reflecting myocardial workload due to peripheral vascular resistance and functional myocardial remodelling were developed. These criteria differed at different AH stages, and included hemodynamic parameters (levels of systolic and diastolic BP) and ergometric characteristics (double product and its increase, pressure load index, and cardiac load index). Conclusion. In Stage I-II AH patients, myocardial oxygen consumption during standard veloergometry was significantly higher than in healthy individuals, disagreed with metabolic demand, and increased with AH progression.
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-0ee5532b0dd14d93a9d36d09c52b65d92025-08-04T12:50:16Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252011-04-01102293410.15829/1728-8800-2011-2-29-341305Ergometric principles of cardiovascular function assessment in arterial hypertensionA. V. Bursikov0E. Sh. Valiulina1L. N. Birtseva2Ivanovo State Medical AcademyIvanovo State Medical AcademyIvanovo State Medical AcademyAim. To investigate hemodynamic and ergometric parameters and their agreement with metabolic demand during veloergometry in patients with Stage I-II arterial hypertension (AH). Material and methods. In total, 80 18-59-year-old men, with Stage I-II AH were examined, together with 25 healthy men of comparable body weight. All participants underwent standard veloergometry, with achievement of sub-maximal heart rate (HR), or development of test-termination criteria, such as excess blood pressure (BP) elevation, dyspnoea, or fatigue. Results. A significant increase in myocardial oxygen consumption, disagreeing with metabolic demand, was observed both at rest and during veloergometry test. The qualitative criteria reflecting myocardial workload due to peripheral vascular resistance and functional myocardial remodelling were developed. These criteria differed at different AH stages, and included hemodynamic parameters (levels of systolic and diastolic BP) and ergometric characteristics (double product and its increase, pressure load index, and cardiac load index). Conclusion. In Stage I-II AH patients, myocardial oxygen consumption during standard veloergometry was significantly higher than in healthy individuals, disagreed with metabolic demand, and increased with AH progression.https://cardiovascular.elpub.ru/jour/article/view/1588arterial hypertensionveloergometrydouble product
spellingShingle A. V. Bursikov
E. Sh. Valiulina
L. N. Birtseva
Ergometric principles of cardiovascular function assessment in arterial hypertension
Кардиоваскулярная терапия и профилактика
arterial hypertension
veloergometry
double product
title Ergometric principles of cardiovascular function assessment in arterial hypertension
title_full Ergometric principles of cardiovascular function assessment in arterial hypertension
title_fullStr Ergometric principles of cardiovascular function assessment in arterial hypertension
title_full_unstemmed Ergometric principles of cardiovascular function assessment in arterial hypertension
title_short Ergometric principles of cardiovascular function assessment in arterial hypertension
title_sort ergometric principles of cardiovascular function assessment in arterial hypertension
topic arterial hypertension
veloergometry
double product
url https://cardiovascular.elpub.ru/jour/article/view/1588
work_keys_str_mv AT avbursikov ergometricprinciplesofcardiovascularfunctionassessmentinarterialhypertension
AT eshvaliulina ergometricprinciplesofcardiovascularfunctionassessmentinarterialhypertension
AT lnbirtseva ergometricprinciplesofcardiovascularfunctionassessmentinarterialhypertension