Zaporožskij Medicinskij Žurnal (Dec 2015)
Changes in heart rate variability in patients with hypertension under outpatient stage treatment
Abstract
Actuality of the heart rate variability study in patients with hypertension is underlined with high risk of hypertension complications development and the influence of the autonomic nervous system that changes the tone, affects not only the course of the disease but also increases the risk of death. The aim was to study heart rate variability with conventional methods, in order to increase the efficiency of the hypertension treatment with telmisartan and bisoprolol in 35 patients suffering from high blood pressure with degree I and II in an ambulatory care clinic. Results. It has been proven that the treatment with bisoprolol and telmisartan in patients with hypertension degree I and II is accompanied by a significant reduction of the sympathetic division activity of the autonomic nervous system, indicating positive change of the autonomic imbalance and increased activity of the parasympathetic system, therefore accompanied by significant reduction in the low frequency spectrum of the sympathetic nervous system in relation with the cardiac activity and the confirmed indicators LF / HF.
Keywords