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Acute Cardiovascular Alterations in Hypertensive Renal Patients During Exercise with Constant Load in the Interdialytic Period

机译:透析期间恒定负荷运动期间高血压肾脏患者的急性心血管改变

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Purpose. The study investigated acute cardiovascular alterations during aerobic exercise in interdialytic phase. Basic procedures. Seven hypertensive men with chronic renal disease (CRD) and seven healthy men (C) were matched according to the age (CRD: 48.5 ± 8.5; C: 45.28 ± 9.3) and body mass index (CRD: 24.2 ± 2.8 kgm-2; C: 26.7 ± 2.7 kgm-2). The exercise was executed on a cycloergometer during 6 minutes at 75% of HRmax and 3 minutes of recovery without load at 55 - 60 rpm. The patients came twice and were controlled only on an occasion at the hospital at 9.00 am. The exercise was performed before and 24 hours after haemodialysis (HD). The blood samples were drawn immediately before and 24 hours after HD for hematocrit and hemoglobin analysis. The statistical difference was verified by the ANOVA and two-tailed unpaired Student's t-test only for p th to 9th min of exercise (~20%; p 2; rest SBP; rest DBP and VO2max) and body weight parameters. Conclusions. The study showed a significant reduction in blood pressure levels during the exercise, principally in DBP 24 hours after HD, suggesting that exercise executed during this period can induce better tolerance to exercise in dialyzed patients.
机译:目的。该研究调查了透析间期有氧运动期间的急性心血管变化。基本程序。根据年龄(CRD:48.5±8.5; C:45.28±9.3)和体重指数(CRD:24.2±2.8 kgm)匹配7名患有慢性肾病(CRD)的高血压男性和7名健康男性(C) -2 ; C:26.7±2.7 kgm -2 )。这项运动是在35 rpm的无负荷情况下,在6分钟内以HR max 的HR进行6分钟,恢复3分钟后进行的。患者来了两次,仅在上午9:00在医院进行了控制。运动在血液透析(HD)之前和之后24小时进行。在HD之前和之后24小时抽取血样用于血细胞比容和血红蛋白分析。统计差异已通过ANOVA和两尾不配对学生t检验进行了验证,仅适用于运动的p th 至9 分钟(〜20%; p 2 ;休息SBP;休息DBP和VO 2max )和体重参数。结论。该研究显示运动期间的血压水平显着降低,主要是在HD后24小时内DBP降低,这表明在此期间进行的运动可以诱导透析患者更好地耐受运动。

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