Current Issue
Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
Editorial Calendar
December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
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doi: 10.3810/psm.2021.03.194
The Physician and Sportsmedicine: Volume 30: No.3
Exercise in Treating Hypertension
Tailoring Therapies for Active Patients
Jirayos Chintanadilok, MD; David T. Lowenthal, MD, PhD
Abstract: Even mild-to-moderate elevations in blood pressure dramatically increase the risk of left ventricular hypertrophy, stroke, and renal disease. Although antihypertensive drugs can reduce blood pressure, their side effects and cost have stimulated a search for alternatives. Nonpharmocologic interventions can serve as definitive therapy for selected patients and as adjunctive therapy for many hypertensive patients. Patients with secondary hypertension should be treated directly and may not derive as much benefit from exercise. Low-to-moderate intensity aerobic exercise can help mildly hypertensive patients and reduce the drug dosage of those more severely affected. For active patients who require medication, regimens can be tailored to minimize adverse drug effects.

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