[Exertional hypertension and sport].
Defining the normal range of blood pressure during exertion is not easy. Each type of exercise induces increased blood pressure that responds to a particular curve, and adaptation modes differ according to age, gender, physical condition, basal blood pressure, etc. The best studied is blood pressure measured on the arm using a cycloergometre. Classical publications established blood pressure curves according to heart rate during exercise. It appears that the best scale of reference for power developed occurs in individuals who can provide a very high degree of effort and in particular, athletes who are in very good training. According to some authors, hypertension on exertion would entail a poor prognosis, even in the absence of resting hypertension. Nevertheless, there is presently no well established therapeutic recommendation concerning exertion hypertension. This approach could depend on resting blood pressure and on the existence of other risk factors. For an athlete, pursuing physical activity is most often encouraged, sometimes after treatment or adjustment of its level.
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Service de pathologie cardio-vasculaire Hôpital d'Instruction des armées Desgenettes 69275 Lyon.
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D001794:Blood Pressure / Q000502:physiology*; D003971:Diastole; D005080:Exercise Test; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control*; D005082:Physical Exertion / Q000502:physiology*; D011379:Prognosis; D012016:Reference Values; D012307:Risk Factors; D013177:Sports; D013599:Systole
Hypertension artérielle d'effort et sport.