Oxygen support of physical stress in perindopril-treated hypertensive patients

Aim. To study and assess, with spiroergometry method, main parameters of physical stress (PS) oxygen (O2) support in arterial hypertension (AH) patients receiving combined and monotherapy with an ACE inhibitor perindopril. Material and methods. The study included 30 patients (17 females, 13 males; m...

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Main Authors: V. I. Makolkin, Sh. Z. Zambakhidze, D. A. Napalkov, T. N. Apanasenko
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2005-12-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1018
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author V. I. Makolkin
Sh. Z. Zambakhidze
D. A. Napalkov
T. N. Apanasenko
author_facet V. I. Makolkin
Sh. Z. Zambakhidze
D. A. Napalkov
T. N. Apanasenko
author_sort V. I. Makolkin
collection DOAJ
description Aim. To study and assess, with spiroergometry method, main parameters of physical stress (PS) oxygen (O2) support in arterial hypertension (AH) patients receiving combined and monotherapy with an ACE inhibitor perindopril. Material and methods. The study included 30 patients (17 females, 13 males; mean age 55.1±8.4 years) with systolic blood pressure (SBP) 140-180 mm Hg, and diastolic blood pressure (DBP) 90-110 mm Hg. Mean AH duration was 5.4±2.2 years. Due to target organ damage, all participants had high cardiovascular event risk. Results. Twelve-week perindopril monotherapy resulted in BP normalization at rest and in PS, significant increase of anaerobic threshold and O 2 pulse, as well as in non-significant improvement of peak O2 consumption, maximal minute lung ventilation, and breath reserve. Combination of perindopril and nebivolol or indapamide resulted in improving of all PS O2 support parameters. Choosing antihypertensive therapy, individually achieved PS level should be taken into account: if maximal O 2 support levels are achieved in >50% of predicted PS, combined therapy with diuretics and beta-blockers is optimal. Conclusion. Perindopril as combined and monotherapy significantly improved PS O2 support parameters in patients with essential arterial hypertension.
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-69b51fed2f3d44d199fef5d8a951736f2025-08-04T12:50:10Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252005-12-0146, ч.I2530731Oxygen support of physical stress in perindopril-treated hypertensive patientsV. I. Makolkin0Sh. Z. Zambakhidze1D. A. Napalkov2T. N. Apanasenko3I.M. Sechenov Moscow Medical Academy, MoscowI.M. Sechenov Moscow Medical Academy, MoscowI.M. Sechenov Moscow Medical Academy, MoscowI.M. Sechenov Moscow Medical Academy, MoscowAim. To study and assess, with spiroergometry method, main parameters of physical stress (PS) oxygen (O2) support in arterial hypertension (AH) patients receiving combined and monotherapy with an ACE inhibitor perindopril. Material and methods. The study included 30 patients (17 females, 13 males; mean age 55.1±8.4 years) with systolic blood pressure (SBP) 140-180 mm Hg, and diastolic blood pressure (DBP) 90-110 mm Hg. Mean AH duration was 5.4±2.2 years. Due to target organ damage, all participants had high cardiovascular event risk. Results. Twelve-week perindopril monotherapy resulted in BP normalization at rest and in PS, significant increase of anaerobic threshold and O 2 pulse, as well as in non-significant improvement of peak O2 consumption, maximal minute lung ventilation, and breath reserve. Combination of perindopril and nebivolol or indapamide resulted in improving of all PS O2 support parameters. Choosing antihypertensive therapy, individually achieved PS level should be taken into account: if maximal O 2 support levels are achieved in >50% of predicted PS, combined therapy with diuretics and beta-blockers is optimal. Conclusion. Perindopril as combined and monotherapy significantly improved PS O2 support parameters in patients with essential arterial hypertension.https://cardiovascular.elpub.ru/jour/article/view/1018essential arterial hypertensionspiroergometryperindopril
spellingShingle V. I. Makolkin
Sh. Z. Zambakhidze
D. A. Napalkov
T. N. Apanasenko
Oxygen support of physical stress in perindopril-treated hypertensive patients
Кардиоваскулярная терапия и профилактика
essential arterial hypertension
spiroergometry
perindopril
title Oxygen support of physical stress in perindopril-treated hypertensive patients
title_full Oxygen support of physical stress in perindopril-treated hypertensive patients
title_fullStr Oxygen support of physical stress in perindopril-treated hypertensive patients
title_full_unstemmed Oxygen support of physical stress in perindopril-treated hypertensive patients
title_short Oxygen support of physical stress in perindopril-treated hypertensive patients
title_sort oxygen support of physical stress in perindopril treated hypertensive patients
topic essential arterial hypertension
spiroergometry
perindopril
url https://cardiovascular.elpub.ru/jour/article/view/1018
work_keys_str_mv AT vimakolkin oxygensupportofphysicalstressinperindopriltreatedhypertensivepatients
AT shzzambakhidze oxygensupportofphysicalstressinperindopriltreatedhypertensivepatients
AT danapalkov oxygensupportofphysicalstressinperindopriltreatedhypertensivepatients
AT tnapanasenko oxygensupportofphysicalstressinperindopriltreatedhypertensivepatients