[Optimal long-term control of arterial hypertension. Experiences with ambulatory, sports-oriented groups of patients with hypertension].
Out-patient groups of hypertensives were organized in an effort to improve long-term treatment results with greater attention to general measures and to increase compliance. Under supervision of a doctor and a physiotherapist 45 patients (aged 54 +/- 10 years) with mild or moderately severe hypertension were enrolled in a sports training programme after thorough examination. At the same time they were given advice and instructions on self-measurement of blood pressure, diet, medication, general life style and relaxation techniques. In the first 20 patients (observation period of more than one year) a significant reduction in both resting (systolic of -9%) and exercise (systolic of -12%) blood pressures was noted. At the same time exercise tolerance was raised (+18%), while body-weight and total cholesterol concentrations were lowered. It was possible to reduce drug dosage in seven patients, in three more it was discontinued. Left-ventricular wall thickness fell slightly but not significantly. There were no complications. It is concluded that group therapy with sport as a vehicle and advice on general life style are satisfactory means for controlling hypertension and achieve better compliance.
Gleichmann
U
U
Kardiologische Klinik, Herzzentrum Nordrhein-Westfalen.
Philippi
H
H
Gleichmann
S
S
Laun
R
R
Mannebach
H
H
Mellwig
K P
KP
Frohnapfel
F
F
Liebermann
A
A
D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005080:Exercise Test; D005081:Exercise Therapy; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000628:therapy*; D008019:Life Style; D008875:Middle Aged; D012064:Relaxation Therapy; D013997:Time Factors
Optimierte Langzeitkontrolle der arteriellen Hypertonie. Erfahrungen mit ambulanten, sportorientierten Hochdruckgruppen.