Hypertension | For patients with hypertension, what should be paid attention to when exercising?

What should be paid attention to for people with hypertension to exercise?

1. If the systolic blood pressure exceeds 180 mmHg or the diastolic blood pressure exceeds 110 mmHg at rest, exercise should be suspended, and exercise can only be carried out after taking medicine to make the blood pressure lower than 180/10 mmHg. During exercise, when the systolic blood pressure is greater than 200 mSv or the diastolic blood pressure is greater than 110 mSv, the exercise should be terminated.

2. Hypertensive patients taking β-blockers should use RPE for exercise intensity monitoring. β-blockers can reduce the heart rate response during high-intensity exercise and sub-high-intensity exercise, and reduce exercise capacity.

3. Beta-blockers and diuretics can reduce the ability of hypertensive patients to regulate their body temperature during exercise in a humid and hot environment. For hypertensive patients taking beta-blockers, the symptoms and signs of heatstroke should be clearly reported. To prevent fever, exercise time and intensity should be reduced.

4. During exercise and fitness, the movements should be gentle and smooth, and the muscles of the whole body should be relaxed consciously. Don't strain or exert force to avoid choking and other movements. When the blood pressure is out of control or not suitable for exercise, do not bend over and lower your head, and the head position should not be lower than the heart level to avoid head congestion causing accidents.

5. It is recommended to exercise at medium and low intensity and gradually increase the amount and intensity of exercise. For hypertensive patients, exercise time is more important than intensity. We should attach great importance to warm-up exercises. Sudden and vigorous exercise can cause an explosive rise in blood pressure and cause danger.

6. For patients with significantly increased blood pressure (blood pressure >160/100 mmHg), endurance exercise should be increased in the treatment plan after drug treatment. Fitness exercise can further reduce blood pressure based on drug therapy, thereby reducing drug dosage and reducing the incidence of hypertension complications.

7. Instruct the patient to stand up slowly from the ground, because when he/she starts taking antihypertensive drugs, he/she is more likely to have hypotension or orthostatic hypotension.

8. During exercise, especially after exercise, keep alert to the body's reaction. For hypertensive patients, cardiovascular accidents such as angina, myocardial infarction, or stroke are more likely to occur during and after exercise.