Abstract

Exercise Training Improves Heart Rate Recovery after Exercise in Hypertension

Highlights

  • Heart rate recovery (HRR) defined as the difference in heart rate at peak exercise and at a specific time interval following the onset of recovery is an important index that has been used as a non-invasive method of assessment of cardiac autonomic recovery after exercise and has important clinical implications[1,2,3,4,5,6]

  • A recent study demonstrated that hypertensive patients under pharmacological treatment but with the levels of blood pressure (BP) uncontrolled have a greater delay in HRR20

  • There were no significant differences in sex, age, height, weight, body mass index (BMI), resting heart rate, peak heart rate, respiratory exchange ratio, and peak oxygen uptake between hypertensive patients and normotensive individuals

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Summary

Introduction

Heart rate recovery (HRR) defined as the difference in heart rate at peak exercise and at a specific time interval following the onset of recovery is an important index that has been used as a non-invasive method of assessment of cardiac autonomic recovery after exercise and has important clinical implications[1,2,3,4,5,6]. A diminished rate of heart rate decline during the first and second minutes of the recovery period after a maximal exercise test is associated with a poor prognosis in cardiovascular disease[7,8]. Hypertension is associated with higher levels of sympathetic nerve activity[14], decrease heart rate variability[15] and delay HRR16-20. In hypertensive patients, it was shown a lower HRR after exercise and this autonomic dysfunction was related with blunting of the nighttime blood pressure (BP) fall[16]. A recent study demonstrated that hypertensive patients under pharmacological treatment but with the levels of BP uncontrolled have a greater delay in HRR20

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