Literature DB >> 3302040

Enhanced blood pressure response to isometric handgrip exercise in patients with essential hypertension: effects of propranolol and prazosin.

M Hamada, Y Kazatani, Y Shigematsu, T Ito, T Kokubu, S Ishise.   

Abstract

To elucidate whether a difference exists in blood pressure (BP) elevation during isometric handgrip exercise (IHG) between essential hypertensives (EHT) and normotensives (NT), IHG was carried out in 12 NT and 46 EHT under constant sodium intake using a new instrument. The acute effects of propranolol and prazosin on IHG were also examined in EHT. The change in systolic BP (delta SBP) during IHG in EHT, delta SBP = 61 +/- 21 mmHg, was markedly greater than that in NT, delta SBP = 28 +/- 4 mmHg. Among EHT, delta BP increased with increasing severity of hypertension. Neither the changes in plasma norepinephrine nor in epinephrine during IHG showed significant differences between EHT and NT. The pressor response during IHG could not be suppressed by propranolol, but about 30% suppression of BP was observed during IHG with prazosin. It is concluded from these findings that EHT have an exaggerated BP response to IHG that is due to increased post-junctional alpha 1-adrenoceptors.

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Year:  1987        PMID: 3302040     DOI: 10.1097/00004872-198706000-00007

Source DB:  PubMed          Journal:  J Hypertens        ISSN: 0263-6352            Impact factor:   4.844


  9 in total

1.  Rapid onset pressor and sympathetic responses to static handgrip in older hypertensive adults.

Authors:  J L Greaney; D G Edwards; P J Fadel; W B Farquhar
Journal:  J Hum Hypertens       Date:  2014-12-04       Impact factor: 3.012

2.  Sympathetic reactivity in young women with a family history of hypertension.

Authors:  Jody L Greaney; Evan L Matthews; Megan M Wenner
Journal:  Am J Physiol Heart Circ Physiol       Date:  2015-02-13       Impact factor: 4.733

3.  The role of endothelin A receptors in peripheral vascular control at rest and during exercise in patients with hypertension.

Authors:  Jesse C Craig; Ryan M Broxterman; D Taylor La Salle; James Cerbie; Stephen M Ratchford; Jayson R Gifford; Kanokwan Bunsawat; Ashley D Nelson; Amber D Bledsoe; David E Morgan; D Walter Wray; Russell S Richardson; Joel D Trinity
Journal:  J Physiol       Date:  2019-12-09       Impact factor: 5.182

4.  Sympathetic responsiveness is not increased in women with a history of hypertensive pregnancy.

Authors:  Sushant M Ranadive; Ronee E Harvey; Brian D Lahr; Virginia M Miller; Michael J Joyner; Jill N Barnes
Journal:  Am J Physiol Regul Integr Comp Physiol       Date:  2016-12-07       Impact factor: 3.619

5.  Functional sympatholysis is impaired in hypertensive humans.

Authors:  Wanpen Vongpatanasin; Zhongyun Wang; Debbie Arbique; Gary Arbique; Beverley Adams-Huet; Jere H Mitchell; Ronald G Victor; Gail D Thomas
Journal:  J Physiol       Date:  2011-01-04       Impact factor: 5.182

6.  The isometric handgrip exercise as a test for unmasking hypertension in the offsprings of hypertensive parents.

Authors:  Rinku Garg; Varun Malhotra; Usha Dhar; Yogesh Tripathi
Journal:  J Clin Diagn Res       Date:  2013-06-01

7.  Exaggerated sympathetic and pressor responses to handgrip exercise in older hypertensive humans: role of the muscle metaboreflex.

Authors:  Erin P Delaney; Jody L Greaney; David G Edwards; William C Rose; Paul J Fadel; William B Farquhar
Journal:  Am J Physiol Heart Circ Physiol       Date:  2010-08-27       Impact factor: 4.733

Review 8.  Alpha1-adrenergic blockers: current usage considerations.

Authors:  Domenic A Sica
Journal:  J Clin Hypertens (Greenwich)       Date:  2005-12       Impact factor: 3.738

9.  Cardiovascular Responses to an Isometric Handgrip Exercise in Females with Prehypertension.

Authors:  Vernon Bond; Bryan H Curry; Richard G Adams; Thomas Obisesan; Sudhakar Pemminati; Vasavi R Gorantla; Kishan Kadur; Richard M Millis
Journal:  N Am J Med Sci       Date:  2016-06
  9 in total

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