Postexercise hypotension as a clinical tool: a “single brick” in the wall

Brito, Leandro C, Fecchio, Rafael Y, Peçanha, Tiago, Andrade-Lima, Aluisio, Halliwill, John R and Forjaz, Claudia LM (2018) Postexercise hypotension as a clinical tool: a “single brick” in the wall. Journal of the American Society of Hypertension, 12 (12). e59-e64. ISSN 1878-7436

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Abstract

After an exercise session, a reduction of blood pressure (BP) is expected, a phenomenon called postexercise hypotension (PEH). PEH as a predictor of chronic training responses for BP has been broadly explored. It suggests that when PEH occurs after each exercise sessions, its benefits may summate over time, contributing to the chronic adaptation. Thus, PEH is an important clinical tool, acting as a “single brick” in the wall, and building the chronic effect of decreasing BP. However, there is large variation in the literature regarding methodology and results, creating barriers for understanding comparisons among PEH studies. Thus, the differences among subjects' and exercise protocols’ characteristics observed in the studies investigating PEH must be considered when readers interpret the results. Furthermore, understanding of these factors of influence might be useful for avoiding misinterpretations in future comparisons and how the subjacent mechanisms contribute to the BP reduction after exercise.