CARDIOPULMONARY RESPONSE DURING EXERCISE OF A BETA(1)-SELECTIVE BETA-BLOCKER (ATENOLOL) AND A CALCIUM-CHANNEL BLOCKER (DILTIAZEM) IN UNTRAINED SUBJECTS WITH HYPERTENSION

被引:22
作者
COHENSOLAL, A [1 ]
BALEYNAUD, S [1 ]
LAPERCHE, T [1 ]
SEBAG, C [1 ]
GOURGON, R [1 ]
机构
[1] HOP BICHAT,DIV CARDIOL,F-75877 PARIS 18,FRANCE
关键词
HYPERTENSION; EXERCISE; DILTIAZEM; BETA-BLOCKER; OXYGEN UPTAKE;
D O I
10.1097/00005344-199307000-00006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The effects of beta-blockers and calcium-channel blockers on cardiopulmonary response during exercise are not well characterized. Sixteen sedentary patients with essential hypertension underwent a randomized, double-blind, cross-over study comparing atenolol and diltiazem sustained-release 300 mg, each administered during 6 weeks, after a 15-day run-in placebo period. Neither atenolol nor diltiazem significantly affected maximal exercise duration, maximal oxygen uptake, ventilatory threshold, Or any of the ventilatory parameters during exercise. With atenolol, the maximal oxygen pulse was significantly increased and compensated for the decrease in heart rate during exercise. Atenolol and diltiazem do not limit maximal exercise tolerance in untrained hypertensive subjects, but the circulatory profile is more preserved with diltiazem.
引用
收藏
页码:33 / 38
页数:6
相关论文
共 37 条
[11]   EFFECTS OF BETA-BLOCKADE ON EXERCISE CAPACITY OF TRAINED AND UNTRAINED MEN - A HEMODYNAMIC COMPARISON [J].
JOYNER, MJ ;
FREUND, BJ ;
JILKA, SM ;
HETRICK, GA ;
MARTINEZ, E ;
EWY, GA ;
WILMORE, JH .
JOURNAL OF APPLIED PHYSIOLOGY, 1986, 60 (04) :1429-1434
[12]   EFFECT OF LONG-TERM DILTIAZEM TREATMENT ON CENTRAL HEMODYNAMICS AND EXERCISE ENDURANCE IN ESSENTIAL-HYPERTENSION [J].
LUNDJOHANSEN, P ;
OMVIK, P .
EUROPEAN HEART JOURNAL, 1990, 11 (06) :543-551
[13]  
LUNDJOHANSEN P, 1974, ACTA MED SCAND, V195, P117
[14]   EXERCISE CAPACITY AND HEMODYNAMICS IN PERSONS AGED 20 TO 50 YEARS WITH SYSTEMIC HYPERTENSION TREATED WITH DILTIAZEM AND ATENOLOL [J].
LUURILA, OJ ;
GROHN, P ;
HEIKKILA, J ;
HAMALAINEN, L ;
HARKONEN, R ;
IDANPAANHEIKKILA, U ;
KOHVAKKA, A ;
RYTKONEN, U ;
SETALA, M ;
SUNDBERG, S .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (10) :832-835
[15]   LEFT-VENTRICULAR MASS AND EXERCISE RESPONSES PREDICT FUTURE BLOOD-PRESSURE - THE MUSCATINE STUDY [J].
MAHONEY, LT ;
SCHIEKEN, RM ;
CLARKE, WR ;
LAUER, RM .
HYPERTENSION, 1988, 12 (02) :206-213
[16]  
MALLION JP, 1990, ARCH MAL COEUR SHTA, V83, P40
[17]  
MASSIE BM, 1987, CIRCULATION, V75, P163
[18]   COMPARISON OF DILTIAZEM AND ATENOLOL IN YOUNG, PHYSICALLY ACTIVE MEN WITH ESSENTIAL-HYPERTENSION [J].
MYBURGH, DP ;
GORDON, NF .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (13) :1092-1095
[19]   ANTIHYPERTENSIVE EFFECT OF DILTIAZEM IN A SLOW-RELEASE FORMULATION FOR MILD TO MODERATE ESSENTIAL-HYPERTENSION [J].
NIKKILA, MT ;
INKOVAARA, JA ;
HEIKKINEN, JT ;
OLSSON, SOR .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (17) :1227-1230
[20]   EFFECTS OF BETA-ADRENERGIC-BLOCKADE ON VENTILATION AND GAS-EXCHANGE DURING EXERCISE IN HUMANS [J].
PETERSEN, ES ;
WHIPP, BJ ;
DAVIS, JA ;
HUNTSMAN, DJ ;
BROWN, HV ;
WASSERMAN, K .
JOURNAL OF APPLIED PHYSIOLOGY, 1983, 54 (05) :1306-1313