title: Effects of fosinopril treatment on blood pressure during physical and mental stress test in essential hypertension.
abstract: In this study the effects of once daily administration of 10 mg fosinopril on blood pressure response to mental and physical stress were evaluated in mild to moderate essential hypertension. A total of 25 patients (14 women, 9 men) with mild to moderate essential hypertension were enrolled in this study. Before the treatment and after 10 mg/day fosinopril treatment for 2 months, systolic and diastolic blood pressure and heart rate were recorded at rest and while performing a mental arithmetic test. In addition, exercise stress testing with Bruce protocol were performed before and after the treatment and systolic and diastolic blood pressure and heart rate were recorded at rest and during peak exercise. Statistical analysis were done by using the paired t-test. During the mental arithmetic test, systolic and diastolic blood pressure were significantly reduced (p < 0.005 and p < 0.001, respectively) after 2 months fosinopril treatment. Systolic and diastolic blood pressure were also significantly reduced during the exercise stress test (p < 0.005 and p < 0.05) after the treatment. Heart rate did not change during either the mental arithmetic or the exercise test. As a result, once daily 10 mg fosinopril may be effective in reducing blood pressure, not only at rest, but also during stressful situations.
authors.affiliation: Department of Cardiology, Medical Faculty, Uludag University, Bursa, Turkey.
authors.forename: D
authors.initials: D
authors.lastname: Yesilbursa
authors.forename: A
authors.initials: A
authors.lastname: Serdar
authors.forename: B
authors.initials: B
authors.lastname: Ilcol
authors.forename: B
authors.initials: B
authors.lastname: Türel
authors.forename: J
authors.initials: J
authors.lastname: Cordan
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects*; D005080:Exercise Test; D005260:Female; D017328:Fosinopril / Q000627:therapeutic use*; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D013315:Stress, Psychological
chemical_list: D000959:Antihypertensive Agents; D017328:Fosinopril