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Hypertension, Heart Disease and possible solutions.


When looking at the heart from an exercise physiology perspective there is a vast amount of diseases that we can come across from heart failure to atrial fibrillation and coronary bypasses. While hypertension may not be taken as a heart condition, it plays a large part in its health. It can act as a co-morbidity or condition that will be affecting heart in the end game that may worsen or complicate other heart conditions. When thinking about treating heart condition, it would also be wise to think about treating the hypertension also so that it may also improve upon the health of the heart. Resistance of the arteries around the body you increase the risk of a couple of physiology conditions that play an effect on its overall function. You increase the likelihood of increasing systolic blood pressure, increasing heart stretch and likelihood of increasing preload which could lead to heart failure and multiple of other functions.

How exercise can help?

When addressing hypertension, it has been stated by Australian Association for Exercise and Sports Science Position Statement on Exercise, that you are to do 4-5 days of aerobic exercises and 2 strength and conditioning exercises on non-consecutive days (Sharman & Stowasser, 2009).

Understanding that with increased blood pressure, leads to increased rate pressure product(heart rate x systolic blood pressure) which is correspondent of the workload the heart has to do. Now when you have clients with either CAD (coronary artery disease) or CABG (coronary artery bypass graph) or heart failure this issomething that can be a variable to consider. An implementation or tool that can be utilised in this situation is PEH (post exercise hypotension) (MacDonald, 2002). This is best used when the aim of reducing the load of the heart for a total amount of exercise may be of benefits. PEH can occur within only 5 minutes of moderate intensity exercise and can having prolonged effects on blood pressure (BP) upwards of 45+ minutes post exercise or using this intervention multiple times throughout the week to may have a prolonged affect even after exercise. It has been observed that the average drop is 8/9mmhg systolic/diastolic in normal population and 10/7mmhg is hypertensive individuals. Now with this in consideration and for a successful intervention of this routine it can help alleviate heart conditions andsymptoms throughout the day which may be exacerbated through everyday stress and complications. If done properly it can’t help reducing other co-morbidities such as increased preload and afterload in the heart, decreasing the risk of acute or chronic heart failure. Now all of this can be used safely ensuringthat initial BP doesn’t already exceed contraindications to starting exercise. It can be done from a simple flight of stairs to a ride around the park or awalk on the treadmill. If Implemented properly this could implement a safe exercising routine and session and could go as far as saving someone’s life. As in most cases, consistency is key to successful outcomes.

How to get started?

If you have hypertension or just want to improve the health of your heart get in contact with us on 1300 869 169 or email us at info@exphysaustralia.com.au. We can help set you up with safe and tailored program that is suited for you!

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