Abstract
1. The cardiovascular responses to handgrip exercise have been studied in ten patients with uncomplicated essential hypertension in a randomized crossover study of propranolol and prazosin. 2. Isometric handgrip exercise was performed with a calibrated strain gauge dynamometer at 30% of maximum voluntary contraction for 3 min. 3. Blood pressure and heart rate were measured in the supine position at rest and in the last 10 s of the exercise period. 4. These exercise studies were undertaken at the end of a run-in period and at the end of 1 month's optimal therapy with the two drugs. 5. The active treatment periods were separated by a 2 weeks placebo washout period. 6. Both drugs lowered the supine and standing systolic and diastolic pressures and there was no difference between these drugs in their effect on these variables. 7. Propranolol lowered the resting heart rate and neither drug suppressed the pressor response to isometric exercise. 8. The degree of pressure rise was similar with both drugs but propranolol suppressed isometric exercise-induced tachycardia.
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Selected References
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- Epstein S., Robinson B. F., Kahler R. L., Braunwald E. Effects of beta-adrenergic blockade on the cardiac response to maximal and submaximal exercise in man. J Clin Invest. 1965 Nov;44(11):1745–1753. doi: 10.1172/JCI105282. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ewing D. J., Irving J. B., Kerr F., Kirby B. J. Static exercise in untreated systemic hypertension. Br Heart J. 1973 Apr;35(4):413–421. doi: 10.1136/hrt.35.4.413. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fisher M. L., Nutter D. O., Jacobs W., Schlant R. C. Haemodynamic responses to isometric exercise (handgrip) in patients with heart disease. Br Heart J. 1973 Apr;35(4):422–432. doi: 10.1136/hrt.35.4.422. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Freyschuss U. Elicitation of heart rate and blood pressure increase on muscle contraction. J Appl Physiol. 1970 Jun;28(6):758–761. doi: 10.1152/jappl.1970.28.6.758. [DOI] [PubMed] [Google Scholar]
- Helfant R. H., De Villa M. A., Meister S. G. Effect of sustained isometric handgrip exercise on left ventricular performance. Circulation. 1971 Dec;44(6):982–993. doi: 10.1161/01.cir.44.6.982. [DOI] [PubMed] [Google Scholar]
- Hume L., Irving J. B., Kitchin A. H., Reuben S. R. Effects of sustained isometric handgrip on praecordial accelerocardiogram in normal subjects and in patients with heart disease. Br Heart J. 1975 Aug;37(8):873–881. doi: 10.1136/hrt.37.8.873. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LIND A. R., TAYLOR S. H., HUMPHREYS P. W., KENNELLY B. M., DONALD K. W. THE CIRCULATIORY EFFECTS OF SUSTAINED VOLUNTARY MUSCLE CONTRACTION. Clin Sci. 1964 Oct;27:229–244. [PubMed] [Google Scholar]
- Lind A. R., McNicol G. W. Muscular factors which determine the cardiovascular responses to sustained and rhythmic exercise. Can Med Assoc J. 1967 Mar 25;96(12):706–715. [PMC free article] [PubMed] [Google Scholar]
- MacDonald H. R., Sapru R. P., Taylor S. H., Donald K. W. Effect of intravenous propranolol on the systemic circulatory response to sustained handgrip. Am J Cardiol. 1966 Sep;18(3):333–344. doi: 10.1016/0002-9149(66)90051-8. [DOI] [PubMed] [Google Scholar]
- Martin C. E., Shaver J. A., Leon D. F., Thompson M. E., Reddy P. S., Leonard J. J. Autonomic mechanisms in hemodynamic responses to isometric exercise. J Clin Invest. 1974 Jul;54(1):104–115. doi: 10.1172/JCI107731. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Siegel W., Gilbert C. A., Nutter D. O., Schlant R. C., Hurst J. W. Use of isometric handgrip for the indirect assessment of left ventricular function in patients with coronary atherosclerotic heart disease. Am J Cardiol. 1972 Jul 11;30(1):48–54. doi: 10.1016/0002-9149(72)90124-5. [DOI] [PubMed] [Google Scholar]
- Sokolow M., Werdegar D., Kain H. K., Hinman A. T. Relationship between level of blood pressure measured casually and by portable recorders and severity of complications in essential hypertension. Circulation. 1966 Aug;34(2):279–298. doi: 10.1161/01.cir.34.2.279. [DOI] [PubMed] [Google Scholar]
