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KMID : 0614720020450040454
Journal of Korean Medical Association
2002 Volume.45 No. 4 p.454 ~ p.459
Exercise Therapy for Hypertensive Patients

Abstract
Hypertensive patients tend to experience cardiac diseases such as myocardial infarction more frequently than the normotensive subjects. Exercise training in hypertensive patients alliviates their symptoms, improves their cardiopulmonary
endurance,
and
decreases their cholesterol levels. Regular exercise in hypertensive patients decreases the development of their symptoms, therefore makes patients comfortable due to the decreased sympathetic tones and increased parasympathetic tones. To
prescribe
exercise to hypertensive patients, it is essential to evaluate the patients¡¯ blood pressure while exercising. The components of exercise prescription include the mode, intensity, duration, and frequency of exercise, The best exercise for
hypertensive
patients is aerobic exercise which improves cardiopulmonary functions. It makes the patients take less medications. The aerobic exercise includes cycling, walking, and running. The intensity of the aerobic exercise should be 45¡­60% of their
VO2max
value. While the patient is taking medication, the prescription of exercise should be cautious, because most antihypertensive agents decrease exercise endurance, and thus make it difficult to continue exercise, compared with those without
medication.
KEYWORD
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