Ergometryc control of the blood pressure

This method is a standardized check of the blood pressure behavior during physical strain. A predefined load is striven and the ECG changes appearing and blood rises in pressure measured in a gradual increase on a bicycle ergometer. The prognostic meaning can be assessed so better increased load blood pressure. The following advantages of an ergometryc control of the blood pressure in comparison with physician measurements can be specified:
  • Uncovering overshooting load blood pressure and improved with that assess the individual cardiovascular risk,
  • Assessment of the capacity under therapy.
For the judgement of the blood pressure the submaximale area has proved itself at this method from 50 to 100 watts (corresponds age load). A blood pressure of 200/100 mm of Hg applies as an upper normal limit value at 100 watts to 20 to 50-year-old men and women. The judgement of the blood pressure on a low achievement step (e.g. 75 watts) with 185/100 mmHg recommends itself the be always then like it particularly at untrained and older patients if it comes to overshooting heart rate increases or if there is already an end load at 100 watts case can. A normal blood pressure behavior in the recovery phase is indicated by it that in the fifth recovery minute a value of 140/90 mmHg is reached or fallen below (after 100 watts). The upper limit value rises diastolically at 50 to 70-year (5th recovery minute with (150/90 mmHg) per Dezenium at 100 watts around 10 mmHg systolic and 5 mmHg. The normals lie considerably more lowly than with adults of a middle age at less than 20-year; e.g. the upper limit value is for 100 watts at 14-year 170/85 mmHg. Only the auscultatory measurement ensures exact blood pressure values during the load.

Despite normal blood pressure values at rest an increased systolic and diastolic load blood pressure represents a good indicator for a later hypertension development while a normal load blood pressure is speaking against a later hypertension illness. The ergometryc control of the blood pressure therefore is of a greater prognostic importance in comparison with the opportunity measurement regarding the course of the illness. Blood pressure lowering medicines also should besides the normalization of the blood pressure under rest conditions load blood pressure banked satisfactorily lower. This isn't the case in the same measure, however, at all medicines antihypertensiv under rest conditions and can be included by the ergometryc exactly. Furthermore the capacity can be checked under antihypertensiv therapy.


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