Resposta hiper-reativa da pressão arterial durante teste de esforço em pacientes cardiometabólicos

Jayne Santos Leite; Wagner Pinto de Pinto; Rejane Costa Grumann Michel; André de Oliveira Teixeira

doi:10.5585/conssaude.v18n2.10598

Authors

Jayne Santos Leite Universidade Federal do Rio Grande https://orcid.org/0000-0002-4612-7301
Wagner Pinto de Pinto Programa de Residência Integrada Multiprofissional Hospitalar com Ênfase na Atenção à Saúde Cardiometabólica do Adulto, Hospital Universitário Dr. Miguel Riet. Corrêa Jr., FURG. Rio Grande, Rio Grande do Sul, Brasil./ Empresa Brasileira de Serviços Hospitalares –EBSERH https://orcid.org/0000-0002-5140-6970
Rejane Costa Grumann Michel Programa de Residência Integrada Multiprofissional Hospitalar com Ênfase na Atenção à Saúde Cardiometabólica do Adulto, Hospital Universitário Dr. Miguel Riet. Corrêa Jr., FURG. Rio Grande, Rio Grande do Sul, Brasil./ Universidade Federal do Rio Grande. https://orcid.org/0000-0002-0497-4131
André de Oliveira Teixeira Programa de Residência Integrada Multiprofissional Hospitalar com Ênfase na Atenção à Saúde Cardiometabólica do Adulto, Hospital Universitário Dr. Miguel Riet. Corrêa Jr., FURG. Rio Grande, Rio Grande do Sul, Brasil./ Empresa Brasileira de Serviços Hospitalares –EBSERH. https://orcid.org/0000-0003-3202-6179

DOI:

https://doi.org/10.5585/conssaude.v18n2.10598

Keywords:

Physical Exercise, Exercise Test, Blood Pressure, Chronic Disease

Abstract

Introduction: Hyperreactivity of blood pressure (HRBP) is characterized by an abrupt increase in systolic and/or diastolic blood pressure during exercise testing (ET). Objective: To delineate the profile of patients with HRBP during ET and the factors associated with this response. Methods: Observational study developed from documentary analysis of ET of patients with HRPA. Spearman correlation test and multiple linear regression were applied (forward), p<0.05. Results: Negative and moderate correlations were observed between maximum oxygen consumption (VO₂max) and variation in SBP, DBP and BMI (p<0.001, r= -0.675; p<0.001, r= -0.643; p<0.001, r= -0.504 respectively); DBP variation with myocardial oxygen consumption (MVO₂; p<0.001, r= -0.483) and weight (p= 0.004, r= 0.540). It was found that VO₂max correlated with maximum heart rate reached during ET (p= 0.004, r= 0.421). VO₂max accounted for 53.56%, weight for 10.62%, and MVO₂ for 4.88% of DBP variation. Conclusion: VO₂max showed high and significant impact on hyperreactive behavior of DBP in patients with cardiometabolic diseases.

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Author Biographies

Jayne Santos Leite, Universidade Federal do Rio Grande

Programa de Residência Integrada Multiprofissional Hospitalar com ênfase na Atenção à Saúde Cardiometabólica do Adulto (RIMHAS)

Wagner Pinto de Pinto, Programa de Residência Integrada Multiprofissional Hospitalar com Ênfase na Atenção à Saúde Cardiometabólica do Adulto, Hospital Universitário Dr. Miguel Riet. Corrêa Jr., FURG. Rio Grande, Rio Grande do Sul, Brasil./ Empresa Brasileira de Serviços Hospitalares –EBSERH

Médico Cardiologista; Preceptor RIMHAS.

Rejane Costa Grumann Michel, Programa de Residência Integrada Multiprofissional Hospitalar com Ênfase na Atenção à Saúde Cardiometabólica do Adulto, Hospital Universitário Dr. Miguel Riet. Corrêa Jr., FURG. Rio Grande, Rio Grande do Sul, Brasil./ Universidade Federal do Rio Grande.

Médica Cardiologista HU-FURG, Preceptora RIMHAS.

André de Oliveira Teixeira, Programa de Residência Integrada Multiprofissional Hospitalar com Ênfase na Atenção à Saúde Cardiometabólica do Adulto, Hospital Universitário Dr. Miguel Riet. Corrêa Jr., FURG. Rio Grande, Rio Grande do Sul, Brasil./ Empresa Brasileira de Serviços Hospitalares –EBSERH.

Profissional de Educação Física EBSERH-HU-FURG; Preceptor RIMHAS.

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