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Effects on blood pressure in patients with refractory angina pectoris after enhanced external counterpulsation

Author:
  • Susanne Bondesson
  • Thomas Pettersson
  • Ola Ohlsson
  • Ingalill Rahm Hallberg
  • Angelica Wackenfors
  • Lars Edvinsson
Publishing year: 2010
Language: English
Pages: 287-294
Publication/Series: Blood Pressure
Volume: 19
Issue: 5
Document type: Journal article
Publisher: Taylor & Francis

Abstract english

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.

Keywords

  • Cardiac and Cardiovascular Systems
  • enhanced external counterpulsation
  • Angina pectoris
  • blood pressure

Other

Published
  • ISSN: 0803-7051
Ingalill Rahm Hallberg
E-mail: ingalill.rahm_hallberg [at] med.lu.se

Professor emerita

Older people's health and Person-Centred care

HSC

65