Physiopathological characteristics of hypertensive patients exposed to stress testing seen in outpatient clinics

Abstract

Introduction: The main importance of studying blood pressure during exercise lies in its diagnostic potential, not only
of HBP but also as a reflection of other diseases that can generate alterations in hemodynamics. Objective: Describe the
pathophysiological characteristics of hypertensive patients exposed to stress testing. Materials and Methods: A retrospective
cross-sectional descriptive study was carried out whose universe was made up of 76 patients between 18 - 60 years old treated
in the outpatient clinic of the Saturnino Lora Hospital. The data was obtained from the Clinical Records. The variables were
studied: age, sex, weight, hypertensive response to effort and comorbidities. Descriptive statistics (absolute and relative
frequency) were used to process the information. Results: There was a predominance of the age group of 33 - 47 years,
represented by 37%, followed by the age group 48 - 62 for 32.9% where there were 14 women, with respect to the total
number of patients in that group (24 ) and the male sex stood out, with 47 patients (64.4%). Discussion: Obesity can cause
or promote the appearance of atrial fibrillation. In a meta-analysis that included 16 studies with 123,000 patients, which
evaluated the impact of obesity on atrial fibrillation, it was shown that obese patients have a 50.0% greater risk of suffering from it, and this increases as the risk of atrial fibrillation increases. the BMI. Conclusions: Systolic blood pressure initially rises
with effort as a result of the increase in cardiac output parallel to the increase in load above established physiological values. As
age increased, the number of patients with moderate hypertensive response to exercise increased in the individuals studied.