Document Detail

Effects on blood pressure in patients with refractory angina pectoris after enhanced external counterpulsation.
MedLine Citation:
PMID:  20429696     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Enhanced external counterpulsation (EECP) is a non-invasive technique that has been shown to reduce the frequency and severity of angina pectoris. Little is known how EECP affects the blood pressure.
METHODS: 153 patients with refractory angina were treated with either EECP or retained on their pharmacological treatment (reference group). Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial blood pressure (MAP) and heart rate were measured pre- and post-treatment and at 12 months follow-up.
RESULTS: EECP treatment altered the blood pressure in patients with refractory angina pectoris. A decrease in the blood pressure was more common in the EECP group compared with the reference group. In the reference group, an increase in the blood pressure was more common. A correlation between a decrease in blood pressure after EECP treatment and a higher baseline MAP, SBP and DBP was seen. No such correlation was seen in the reference group. The blood pressure response did not persist at 12 months follow-up.
CONCLUSION: EECP treatment affects the blood pressure in patients with refractory angina pectoris. The decreased blood pressure may be a result of an improved exercise capacity, an improved endothelial function and vasoreactivity in general.
Susanne Bondesson; Thomas Pettersson; Ola Ohlsson; Ingalill R Hallberg; Angelica Wackenfors; Lars Edvinsson
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Blood pressure     Volume:  19     ISSN:  1651-1999     ISO Abbreviation:  Blood Press.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-22     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  England    
Other Details:
Languages:  eng     Pagination:  287-94     Citation Subset:  IM    
Department of Medicine, Kristianstad, Sweden.
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MeSH Terms
Angina Pectoris / drug therapy,  therapy*
Blood Pressure*
Counterpulsation / methods*,  rehabilitation
Follow-Up Studies
Heart Rate
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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