Exercise as a therapeutic approach to improve blood pressure in patients with peripheral arterial disease: current literature and future directions

Autor(es)

Ritti-Dias, Raphael Mendes ^[1] ; Correia, Marilia de Almeida ^[2] ; Andrade-Lima, Aluisio ^[3] ; Cucato, Gabriel Grizzo ^[4]

Afiliação do(s) autor(es)

^[1] Univ Nove Julho, Postgrad Program Rehabil Sci, Sao Paulo - Brazil

^[2] Univ Nove Julho, Postgrad Program Med, Sao Paulo - Brazil

^[3] Univ Fed Sergipe, Dept Phys Educ, Aracaju - Brazil

^[4] Hosp Israelita Albert Einstein, Sao Paulo - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: EXPERT REVIEW OF CARDIOVASCULAR THERAPY; v. 17, n. 1, p. 65-73, 2019.
• Citações Web of Science: 1

Resumo

Introduction: Patients with symptomatic peripheral artery disease (PAD) exhibit reduced functional capacity and increased mortality due to cardiovascular disease. Although exercise has been a cornerstone for clinical treatment to improve walking capacity in patients with symptomatic PAD, its effects on cardiovascular parameters have been poorly explored. Areas covered: This review examines the role of exercise in improving blood pressure in patients with symptomatic PAD and summarizes the current evidence on the acute (single bout of exercise) and chronic effects of walking and resistance exercise on blood pressure and its determinants. Expert commentary: In patients with symptomatic PAD, exercise promotes acute and chronic reductions in blood pressure. These effects were observed particularly after walking and resistance exercise. Future studies are necessary to investigate the effects of other exercise modalities, especially non-painful exercises, on cardiovascular function in patients with symptomatic PAD. (AU)

• Processo FAPESP: 16/16425-9 - Efeito do treinamento isométrico de handgrip na pressão arterial, função endotelial e modulação autonômica cardíaca de pacientes com doença arterial periférica: ensaio clínico controlado aleatorizado.
• Beneficiário: Raphael Mendes Ritti Dias
• Modalidade de apoio: Auxílio à Pesquisa - Regular