The Relationship Between Blood Pressure and Heart Rate Response During Exercise Testing with Microcirculation Indices.

IF 3.1 Q2 PERIPHERAL VASCULAR DISEASE High Blood Pressure & Cardiovascular Prevention Pub Date : 2024-12-24 DOI:10.1007/s40292-024-00695-5

Ioannis Liatakis, Kyriakos Dimitriadis, Eleni Manta, Ioannis Andrikou, Nikolaos Pyrpyris, Fotios Tatakis, Dimitrios Konstantinidis, Konstantinos Thomopoulos, Antonios Manolis, Dimitrios Tousoulis, Konstantinos Tsioufis

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Abstract

Introduction: Hypertension is associated with changes in microcirculation, while increased blood pressure (BP) during exercise stress testing has been correlated with adverse outcomes.

Aim: To evaluate the relationship of microcirculation with exercise BP response in hypertensive individuals.

Methods: 105 hypertensive individuals underwent exercise stress testing and nail-fold videocapillaroscopy assessment, in order to evaluate the relationship of BP response to exercise with capillary density.

Results: A significant negative correlation between diastolic BP at 1-minute recovery and capillary density was revealed (Pearson's r = -0.365, p = 0.043). A significant negative correlation was also observed between capillary density and peak heart rate (HR) (Pearson's r = -0.364, p = 0.024) and HR increase from stage 1 to 2 (Pearson's r = -0.746, p = 0.013).

Conclusion: Capillary rarefaction is associated with an abnormal BP and HR response to exercise, highlighting the role of microcirculation in BP regulation during exercise.

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微循环指标运动试验中血压与心率反应的关系。

导论：高血压与微循环改变有关，而运动应激试验期间血压升高与不良后果相关。目的：探讨高血压患者微循环与运动血压反应的关系。方法：对105例高血压患者进行运动应激试验和折甲血管镜检查，评价运动后血压反应与毛细血管密度的关系。结果：恢复1分钟时舒张压与毛细血管密度呈显著负相关（Pearson’s r = -0.365, p = 0.043）。毛细血管密度与峰值心率（HR）（Pearson’s r = -0.364, p = 0.024）和心率从1期到2期的增加（Pearson’s r = -0.746, p = 0.013）也呈显著负相关。结论：微循环在运动血压调节中的作用与运动时血压和心率的异常反应有关。

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来源期刊

High Blood Pressure & Cardiovascular Prevention PERIPHERAL VASCULAR DISEASE-

CiteScore

5.70

自引率

3.30%

发文量

期刊介绍： High Blood Pressure & Cardiovascular Prevention promotes knowledge, update and discussion in the field of hypertension and cardiovascular disease prevention, by providing a regular programme of independent review articles covering key aspects of the management of hypertension and cardiovascular diseases. The journal includes: Invited ''State of the Art'' reviews. Expert commentaries on guidelines, major trials, technical advances.Presentation of new intervention trials design.''Pros and Cons'' or round tables on controversial issues.Statements on guidelines from hypertension and cardiovascular scientific societies.Socio-economic issues.Cost/benefit in prevention of cardiovascular diseases.Monitoring of healthcare systems.News and views from the Italian Society of Hypertension (including abstracts).All manuscripts are subject to peer review by international experts. Letters to the editor are welcomed and will be considered for publication.